Submission for OMB Review; Comment Request

DEPARTMENT OF LABOR

Office of the Secretary

Submission for OMB Review; Comment Request

June 4, 1996.

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 (P.L. 104-13, 44 U.S.C. Chapter 35). Copies of

these individual ICRs, with applicable supporting documentation, may be

obtained by calling the Department of Labor Acting Department Clearance

Officer, Theresa M. O'Malley ({202} 219-5095). Individuals who use a

telecommunications device for the deaf (TTY/TDD) may call {202} 219-

4720 between 1 p.m. and 4 p.m. Eastern time, Monday through Friday.

Comments should be sent to 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 10235, Washington, DC

20503 ({202} 395-7316), 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.

Title: Report of Construction Contractor's Wage Rates.

OMB Number: 1215-00046.

Agency Number: WD-10.

Frequency: On occasion.

Affected Public: Business or other for-profit.

Number of Respondents: 37,500.

Estimated Time Per Respondent: 20 minutes.

Total Burden Hours: 25,000.

Total Annualized capital/startup costs: $0.

Total annual costs (operating/maintaining systems or purchasing

services): $0.

Description: The Form WD-10 is used by the Department of Labor to

elicit construction project data from contractor associations,

contractors and unions. The wage data is used to determine locally

prevailing wages under the Davis-Bacon and Related Acts.

Agency: Employment Standards Administration.

Title: Report of Changes that May Affect Your Black Lung Benefits.

OMB Number: 1215-0084.

Agency Number: CM-929.

Frequency: Biennially.

Affected Public: Individuals or households.

Number of Respondents: 35,000.

Estimated Time Per Respondent: 5 to 8 minutes.

Total Burden Hours: 3,092.

Total Annualized capital/startup costs: $0.

Total annual costs (operating/maintaining systems or purchasing

services): $0.

Description: This information is used to help determine continuing

eligibility of primary beneficiaries receiving black lung benefits from

the Disability Trust Fund. It is also used to verify and update on a

regular basis factors that affect a beneficiary's entitlement to

benefits, including income, marital status, receipt of State Workers'

Compensation, and dependent status.

Agency: Employment Standards Administration.

Title: Notice of Recurrence of Disability and Claim for

Continuation of Pay/Compensation.

OMB Number: 1215-0167.

Agency Number: CA-2a.

Frequency: 1 time per recurrence of disability.

Affected Public: Individuals or households.

Number of Respondents: 550.

Estimated Time Per Respondent: 30 minutes.

Total Burden Hours: 275.

Total Annualized capital/startup costs: $0.

Total annual costs (operating/maintaining systems or purchasing

services: $192.50.

Description: The CA-2a is used by current, or occasionally former

Federal employees to claim wage loss or

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medical treatment resulting from a recurrence of a work-related injury

while Federally employed. The information is necessary to ensure the

accurate payment of benefits.

Agency: Employment Standards Administration.

Title: Family Medical Leave Act of 1993, 29 CFR Part 825.

OMB Number: 1215-0181.

Frequency: Recordkeeping; third party disclosure; reporting on

occasion.

Affected Public: Individuals or households; Business or other for-

profit; Not-for-profit institutions; Farms; State, Local or Tribal

Government.

Number of Respondents: 3,900,000.

Estimated Time Per Respondent: 1 to 10 minutes.

Total Burden Hours: 9,142,500.

Total Annualized capital/startup costs: $0.

Total annual costs (operating/maintaining systems or purchasing

services: $0.

Description: The Family Medical Leave Act of 1993 (FMLA) requires

private sector employees of 50 or more employees, and public agencies

to provide up to 12 weeks of unpaid, job-protected leave to

``eligible'' employees for certain family and medical reasons. Records

are required so that the Department of Labor can determine employer

compliance with the FMLA.

Agency: Employment Standards Administration.

Title: Rehabilitation Action Report.

OMB Number: OWCP-44.

Agency Number: 1215-0182.

Frequency: On occasion.

Affected Public: Individuals or households; Business or other for-

profit.

Number of Respondents: 7,000.

Estimated Time Per Respondent: 30 minutes.

Total Burden Hours: 3,500.

Total Annualized capital/startup costs: $0.

Total annual costs (operating/maintaining systems or purchasing

services: $0.

Description: The OWCP-44 is the rehabilitation action report

submitted by the rehabilitation counselor to report transition periods

in the vocational rehabilitation process and to request prompt claims

adjudicatory action.

Theresa M. O'Malley,

Acting Departmental Clearance Officer.

[FR Doc. 96-14422 Filed 6-6-96; 8:45 am]

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