Agency Recordkeeping/Reporting Requirements Under Review by the Office of Management and Budget (OMB)

DEPARTMENT OF LABOR

Office of the Secretary

Agency Recordkeeping/Reporting Requirements Under Review by the

Office of Management and Budget (OMB)

March 13, 1995.

The Department of Labor has submitted the following public

information collection requests (ICRs) to the Office of Management and

Budget (OMB) for review and clearance under the Paperwork Reduction Act

(44 U.S.C. Chapter 35) of 1980, as amended (P.L. 96-511). Copies may be

obtained by calling the Department of Labor Departmental Clearance

Officer, Kenneth A. Mills ((202) 219-5095). Comments and questions

about the ICRs listed below should be directed to Mr. Mills, Office of

Information Resources Management Policy, U.S. Department of Labor, 200

Constitution Avenue, NW., Room N-1301, Washington, DC 20210. Comments

should also be sent to the Office of Information and Regulatory

Affairs, Attn: OMB Desk Officer for (BLS/DM/ESA/ETA/OAW/MSHA/OSHA/PWBA/

VETS), Office of Management and Budget, Room 10102, Washington, DC

20503 ((202) 395-7316).

Type of Review: Extension

Agency: Employment Standards Administration

Title: Request from Claimant for Information on Earnings, Dual

Benefits, Dependents, and Third Party Settlement

OMB Number: 1215-0151

Agency Number: CA-1032

Frequency: Annually

Affected Public: Individuals or households

Number of Respondents: 50,000

Estimated time per respondent: 20 minutes

Total Burden Hours: 16,667

Description: The CA-1032 is used to obtain information from claimants

receiving compensation on the Division of Federal Employees'

Compensation periodic disability roll. This information is necessary to

ensure that the amount of compensation being paid is correct.

Kenneth A. Mills,

Departmental Clearance Officer.

[FR Doc. 95-6661 Filed 3-16-95; 8:45 am]

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