Proposed Collection; Comment Request [Notices] [08/18/1998]
Proposed Collection; Comment Request [08/18/1998]
Volume 63, Number 159, Page 44288-44290-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Employment Standards Administration
Proposed Collection; Comment Request
ACTION: Notice.
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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
[[Page 44289]]
information in accordance with the Paperwork Reduction Act of 1995
(PRA95) [44 U.S.C. 3506(c)(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 requirements on
respondents can be properly assessed. Currently, the Employment
Standards Administration is soliciting comments concerning five
information collections: (1) Request for Information on Earnings, Dual
Benefits, Dependents and Third Party Settlements, CA-1032; (2) Black
Lung Provider Enrollment Form, CM-1168; (3) Application for
Continuation of Death Benefit for Student, LS-266; (4) Representative
Fee Request; and (5) Office of Federal Contract Compliance
Recordkeeping and Reporting Requirements: Supply and Service. Copies of
the proposed information collection requests can be obtained by
contacting the office listed below in the addressee section of this
notice.
DATES: Written comments must be submitted to the office listed in the
addressee section below on or before October 18, 1998. The Department
of Labor is particularly interested in comments which:
<bullet> 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;
<bullet> 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;
<bullet> Enhance the quality, utility and clarity of the
information to be collected; and
<bullet> 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.
ADDRESSES: Contact Ms. Patricia Forkel at the U.S. Department of Labor,
200 Constitution Avenue, N.W., Room S-3201, Washington, D.C. 20210,
telephone (202) 693-0010. The Fax number is (202) 219-65920 (These are
not toll-free numbers.)
SUPPLEMENTARY INFORMATION:
Request for Information on Earnings, Dual Benefits, Dependents and
Third Party Settlements--CA-1032
I. Background
The Federal Employees' Compensation Act (FECA) provides for the
collection of information from claimants receiving continuing
compensation on the periodic disability rolls. The FECA states the
following: Compensation must be adjusted to reflect a claimant's
earnings while in receipt of benefits (5 U.S.C. 8106); Compensation is
payable at the augmented rate of 75 percent only if the claimant has
one or more dependents (5 U.S.C. 8110); Compensation may not be paid
concurrently with certain benefits from other Federal agencies, e.g.,
Social Security (5 U.S.C. 8116); and, Compensation must be adjusted to
reflect any settlement from a third party responsible for the injury
for which the claimant is being paid compensation (5 U.S.C. 8132).
Completion of the Form CA-1032 is requested annually and is used to
ensure that compensation being paid on the periodic roll is correct.
II. Current Actions
The Department of Labor (DOL) is seeking approval to revise this
information collection to include a question asking if the respondent
has ever been convicted of a fraud related offense in connection with
the application or receipt of worker's compensation benefits. It also
asks whether the respondent has been incarcerated for any period during
the last 15 months for any felony offense. These additional questions
are necessitated by 5 U.S.C. 8148 (a), which provides that an
individual convicted of any violation related to fraud in the
application for, or receipt of, any compensation benefit, forfeits (as
of the date of such conviction) any entitlement to such benefits for
any injury occurring on or before the date of conviction. Also, 5
U.S.C. 8148 (b)(1) requires that no Federal compensation benefit can be
paid to any individual for any period during which such individual is
incarcerated for any felony offense.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: Request from Claimant for Information on Earnings, Dual
Benefits, Dependents, and third Party Settlements--Form CA-1032.
OMB Number: 1215-0151.
Agency Numbers: CA-1032.
Affected Public: Individuals or households.
Total Respondents: 50,000.
Frequency: Annually.
Total Responses: 50,000.
Average Time Per Response: 20 minutes.
Total Burden Hours: 16,666.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $17,500.
Black Lung Provider Enrollment Form, CM-1168
I. Background
The Division of Coal Mine Workers' Compensation (DCMWC) is
responsible for maintaining a list of authorized treating physicians
and medical facilities in the area of a miner's residence and for
payment of certain medical bills and services provided to the miner
under the Black Lung Benefits Act. This form is sent to and completed
by new providers who wish to participate in providing medical services
to miners. The information provided is used by DCMWC to create a data
base identifying medical providers by name, address, and billing
information, and the type of medical service they will provide.
II. Current Actions
The Department of Labor is seeking extension of approval of this
information collection in order to maintain up-to-date information on
medical providers for the timely payment of medical benefits for
miners. The form is used both for newly enrolled medical providers and
to update information for already enrolled medical providers as
necessary
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Black Lung Program Provider Enrollment Form.
OMB Number: 1215-0137.
Agency Number: CM-1168.
Affected Public: Business or other for-profit.
Total Respondents: 4,000.
Frequency: On occasion.
Total Responses: 4,000.
Average Time per Response: Three to seven minutes.
Total Burden Hours: 300.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintenance): $1,400.
Application for Continuation of Death Benefit for Student, LS-266
I. Background
Under the Longshore and Harbor Workers' Compensation Act, a child
or certain other surviving dependents of a deceased beneficiary may be
eligible for continuation of death benefits if the
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dependent qualifies as a student under certain provisions of the Act.
The Form LS-266 is submitted by the parent or guardian of the dependent
for whom the benefit is sought and is used by the Department of Labor
to determine if the continuation of benefits is justified.
II. Current Actions
The Department of Labor seeks extension of approval of this
information collection in order to ensure that eligible dependents may
continue to receive benefits to which they are entitled.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Application for Continuation of Death Benefit for Student.
OMB Number: 1215-0073.
Agency Number: LS-266.
Affected Public: Individuals or households; Business of other for-
profit.
Total Respondents: 43.
Frequency: On occasion.
Total Responses: 43.
Average Time per Response: 30 minutes.
Total Burden Hours: 22.
Total Burden Cost (capital/startup): 0.
Total Burden Cost: (operating/maintenance): $15.05.
Representative Fee Request
I. Background
Individuals filing for compensation benefits with the Office of
Workers' Compensation Programs (OWCP) may be represented by an attorney
or other representative. The representative is entitled to request a
fee for services under 20 CFR 10.145 (Federal Employees' Compensation
Act) and 20 CFR 702.132 (Longshore and Harbor Workers' Compensation
Act). The fee must be approved by the OWCP before any demand for
payment can be made by the representative.
II. Current Actions
The Department of Labor (DOL) seeks extension of this information
collection in order to carry out its responsibility to ensure that the
fee request is consistent with services provided and with customary
local charges for similar services, and to ensure that any fee request
considered excessive is reduced accordingly.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Representative Fee Request.
OMB Number: 1215-0078.
Affected Public: Business or other for-profit; Individuals or
households.
Total Respondents: 14,000.
Frequency: On occasion.
Total Responses: 14,000.
Average Time per Response: 30 to 90 minutes.
Total Burden Hours: 10,000.
Total Burden Cost (capital/startup): 0.
Total Burden Cost (operating/maintenance): $17,150.
Recordkeeping and Reporting Requirements; Supply and Service
I. Background
The Office of Federal Contract Compliance Programs (OFCCP) is
responsible for the administration of equal employment opportunity
programs which prohibit employment discrimination and require
affirmative action. These programs are Executive Order 11246, as
amended, Section 503 of the Rehabilitation Act of 1973, as amended, and
the Vietnam Era Veterans' Readjustment Assistance Act of 1974 (VEVRAA),
as amended (38 U.S.C. 4212). This information collection contains all
recordkeeping and reporting requirements and forms which are derived
from the implementing regulations found in Title 41 of the Code of
Federal Regulations, Chapter 60, for supply and service contractors.
Current Actions
The Department of Labor (DOL) is seeking an extension of this
information collection in order to substantiate compliance with
nondiscrimination and affirmative action requirements monitored by
OFCCP. In addition, DOL is reviewing all aspects of this information
collection, including compliance reviews, for applicability of the
Paperwork Reduction Act of 1995.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: OFCCP Recordkeeping and Reporting Requirements: Supply and
Service.
OMB Number: 1215-0072.
Affected Public: Business or other for-profit; not-for-profit
institutions; State, Local or Tribal Government.
Total Respondents: 89,807.
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Average time No.
Requirement per response Frequency respondents Hours
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Recordkeeping:
Initial Development of AAP.......... 179.46 Once....................... 89,807 161,153
Update of AAP....................... 74.889 Annually................... 88,909 6,658,288
Maintenance of AAP.................. 74,889 Annually................... 89,807 6,725,543
Uniform Guidelines on Employee * *.......................... * 482,804
Selection Procedures*.
Reporting:
Standard Form 100................... 3.7 Annually................... 51,603 191,265
Compliance Evaluation............... 135.35 On occasion................ 3,324 449,900
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*The Uniform Guidelines are used by four agencies other than OFCCP, and have been approved by the Office of
Management and Budget under an information collection submitted by the Equal Employment Opportunity
Commission. The OFCCP has been apportioned a part of this burden. The EEOC estimate for OFCCP is 482,804
burden hours, or slightly less than a third of the 1.6 million burden hours in the EEOC inventory.
Total Recordkeeping Hours: 14,027,788.
Total Reporting Hours: 641,165.
Total Hours, Reporting and Recordkeeping: 16,668,953.
Total Respondent Cost (capital/startup): 0.
Total Respondent Cost (operation/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: August 11, 1998.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management,
Administration and Planning, Employment Standards Administration.
[FR Doc. 98-22214 Filed 8-17-98; 8:45 am]
BILLING CODE 4510-27-M
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