skip navigational linksDOL Seal - Link to DOL Home Page
Photos representing the workforce - Digital Imagery(c) copyright 2001 PhotoDisc, Inc.
www.dol.gov/esa
November 7, 2008    DOL Home > ESA

ESA Federal Register Notice

Proposed Collection; Comment Request [09/22/2003]

[PDF Version]

Volume 68, Number 183, Page 55064-55065

-----------------------------------------------------------------------

DEPARTMENT OF LABOR

Employment Standards Administration

 
Proposed Collection; Comment Request

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the Paperwork Reduction 
Act of 1995 (PRA95) (44 U.S.C. 3506(c)(2)(A)). This program helps to 
ensure that requested data can be provided in the desired format, 
reporting burden (time and financial resources) is minimized, 
collection instruments are clearly understood, and the impact of 
collection

[[Page 55065]]

requirements on respondents can be properly assessed. Currently, the 
Employment Standards Administration is soliciting comments concerning 
the proposed collection: Request for Employment Information (CA-1027). 
A copy of the proposed information collection request can be obtained 
by contacting the office listed below in the addresses section of this 
Notice.

DATES: Written comments must be submitted to the office listed in the 
addresses section below on or before November 21, 2003.

ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0418, fax (202) 693-1451, Email bell.hazel@dol.gov. Please 
use only one method of transmission for comments (mail, fax, or Email).

SUPPLEMENTARY INFORMATION:

I. Background

    Payment of compensation for partial disability to injured Federal 
workers is required by 5 U.S.C. 8106. That section also requires the 
Office of Workers' Compensation Programs (OWCP) to obtain information 
regarding a claimant's earnings during a period of eligibility to 
compensation. The CA-1027, Request for Employment Information, is the 
form used to obtain information for an individual who is employed by a 
private employer. The information is used to determine the claimant's 
entitlement to compensation benefits. This information collection is 
currently approved for use through March 31, 2004.

II. Review Focus

    The Department of Labor 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 
submissions of responses.

III. Current Actions

    The Department of Labor seeks extension of approval to collect this 
information in order to determine a claimant's eligibility for 
compensation benefits.
    Type of Review: Extension
    Agency: Employment Standards Administration
    Title: Request for Employment Information
    OMB Number: 1215-0105
    Agency Number: CA-1027
    Affected Public: Business or other for-profit.
    Frequency: On occasion.
    Total Respondents: 500
    Total Responses: 500
    Time Per Response: 15 minutes
    Estimated Total Burden Hours: 125
    Total Burden Cost (capital/startup): $0
    Total Burden Cost (operating/maintenance): $0
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: September 15, 2003.
Bruce Bohanon,
Chief, Branch of Management Review and Internal Control, Division of 
Financial Management, Office of Management, Administration and 
Planning, Employment Standards Administration.
[FR Doc. 03-24052 Filed 9-18-03; 12:01 pm

 



Phone Numbers