[Federal Register: June 18, 2004 (Volume 69, Number 117)]
[Notices]
[Page 34192-34193]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr18jn04-142]
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DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review: Comment Request
June 14, 2004.
The Department of Labor (DOL) has submitted the following public
information collection requests (ICRs) to the Office of Management and
Budget (OMB) for review and approval in accordance with the Paperwork
Reduction Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35). A copy of
each ICR, with applicable supporting documentation, may be obtained by
contacting the Department of Labor (DOL). To obtain documentation,
contact Darrin King on 202-693-4129 (this is not a toll-free number) or
e-mail: king.darrin@dol.gov.
Comments should be sent to Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for the Employment Standards
Administration (ESA), Office of Management and Budget, Room 10235,
Washington, DC 20503, 202-395-7316 (this is not a toll-free number),
within 30 days from the date of this publication in the Federal
Register.
The OMB is particularly interested in comments which:
Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
Evaluate the accuracy of the agency's estimate of the
burden of the proposed collection of information, including the
validity of the methodology and assumptions used;
Enhance the quality, utility, and clarity of the
information to be collected; and
Minimize the burden of the collection of information on
those who are to respond, including through the use of appropriate
automated, electronic, mechanical, or other technological collection
techniques or other forms of information technology, e.g., permitting
electronic submission of responses.
Agency: Employment Standards Administration.
Type of Review: Extension of currently approved collection.
Title: Survivor's Form for Benefits.
OMB Number: 1215-0069.
Frequency: One-time.
Type of Response: Reporting.
Affected Public: Individuals or households.
Number of Respondents: 2,800.
Annual Responses: 2,800.
Average Response Time: 8 minutes.
Total Annual Burden Hours: 373.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $800.
Description: This collection of information is required to
administer the benefit payment provisions of the Black Lung Act for
survivors of deceased miners. Form CM-912 is authorized for use by the
Black Lung Benefits Act 30 U.S.C. 901, et seq., 20 CFR 410.221 and CFR
725.304. Completion of Form CM-912 constitutes the application for
benefits by survivors and assists in determining the survivor's
entitlement to benefits.
Agency: Employment Standards Administration.
Type of Review: Extension of currently approved collection.
Title: Notice of Law Enforcement Officer's Injury or Occupational
Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722).
OMB Number: 1215-0116.
Frequency: On occasion.
Type of Response: Reporting.
Affected Public: Individuals or households; Business or other for-
profit; and State, local, or tribal government.
Number of Respondents: 23.
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Average
Form Annual response time Annual burden
responses (hours) hours
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CA-721.......................................................... 8 60 8
CA-722.......................................................... 15 90 23
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Total....................................................... 23 .............. 31
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Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $9.
Description: The Notice of Law Enforcement Officer's Injury or
Occupational Disease (CA-721) and the Notice of Law Enforcement
Officer's Death (CA-722) are the forms used by non-Federal law
enforcement officers and their survivors to claim compensation under
the Federal Employees' Compensation Act. The associated regulations are
at 20 CFR 10.735.
Agency: Employment Standards Administration.
Type of Review: Extension of currently approved collection.
Title: 29 CFR Part 575--Waiver of Child Labor Provisions for
Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting
of Short Season Crops.
OMB Number: 1215-0120.
Frequency: On occasion.
Type of Response: Reporting and Recordkeeping.
Affected Public: Individuals or households and Farms.
Number of Respondents: 1.
Annual Responses: 1.
Average Response Time: 4 hours.
Total Annual Burden Hours: 4.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $0.
Description: Background: Section 13(c)(4) of the Fair Labor
Standards Act (FLSA), 29 U.S.C. 201 et seq., authorizes the Secretary
of Labor to grant a waiver
[[Page 34193]]
of child labor provisions of the FLSA for the agricultural employment
of 10 and 11 year old minors in the hand harvesting of short season
crops if specific requirements and conditions are met. The Act requires
that all employers who are granted such waivers keep on file a signed
statement of the parent or person standing in the place of the parent
of each 10 and 11 year old minor, consenting to their employment, along
with a record of the name and address of the school in which the minor
is enrolled.
Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. 04-13754 Filed 6-17-04; 8:45 am]
BILLING CODE 4510-23-P