ESA Federal Register Notice

Office of Workers' Compensation Programs, Information Collection; OMB Approval, Energy Employees Occupational Illness Compensation Program Act Forms (Various) [08/09/2001]

Volume 66, Number 154, Page 41892

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DEPARTMENT OF LABOR

Employment Standards Administration

 
Office of Workers' Compensation Programs, Information Collection; 
OMB Approval, Energy Employees Occupational Illness Compensation 
Program Act Forms (Various)

ACTION: Notice of OMB approval under the Paperwork Reduction Act.

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SUMMARY: The Office of Management and Budget (OMB) has approved, under 
the Paperwork Reduction Act, a collection of information under the 
Energy Employees Occupational Illness Compensation Program Act (EEOICPA 
or Act).

FOR FURTHER INFORMATION CONTACT: Shelby Hallmark, Director, Office of 
Workers' Compensation Programs, Employment Standards Administration, 
U.S. Department of Labor, Room S-3524, 200 Constitution Ave., NW., 
Washington, DC 20210, (202) 693-0031.

SUPPLEMENTARY INFORMATION: On May 25, 2001, the Employment Standards 
Administration, Office of Workers' Compensation Programs, published an 
interim final rule governing the administration of the EEOICPA, and 
requested OMB approval under the Paperwork Reduction Act of an 
information collection consisting of 9 forms/reporting requirements 
under the Act. The forms/reporting requirements are: EE-1, Claim for 
Benefits Under Energy Employees Occupational Illness Compensation 
Program Act; EE-2, Claim for Survivor Benefits Under Energy Employees 
Occupational Illness Compensation Program Act; EE-3, Employment History 
for Claim Under Energy Employees Occupational Illness Compensation 
Program Act; EE-4, Employment History Affidavit for Claim Under the 
Energy Employees Occupational Illness Compensation Program Act; EE-7, 
Medical Requirements Under the Energy Employees Occupational Illness 
Compensation Program Act; EE-15/EN-15, letter to claimant requesting 
information on approved claims concerning possible tort suits, third 
party settlements, other eligible survivors, fraud convictions, and 
corrections; EE-20/EN-20, Acceptance of Payment Under the Energy 
Employees Occupational Illness Compensation Program Act; EE-915, Claim 
for Medical Reimbursement Under the Energy Employees Occupational 
Illness Compensation Program Act; and 20 CFR 30.214, a medical report 
required when an injury, illness or disability is sustained as a 
consequence of cancer.
    OMB has approved the information collection request for three 
years. The OMB control number assigned to this information collection 
is 1215-0197, and the expiration date is 7/31/2004.

    Dated: August 1, 2001.
Shelby Hallmark,
Director, Office of Workers' Compensation Programs, Employment 
Standards Administration, Department of Labor.
[FR Doc. 01-19949 Filed 8-8-01; 8:45 am]
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