Office of the Secretary; Submission for OMB Review; Comment Request

DEPARTMENT OF LABOR

Office of the Secretary; Submission for OMB Review; Comment

Request

August 1, 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 Departmental

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 1:00 p.m. and 4:00 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: FECA Medical Report Forms.

OMB Number: 1215-0103.

Agency Number: CA-7, CA-8, CA-16b, CA-17b, CA-20, CA-20a, CA-1090,

CA-13-3, CA-1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336,

OWCP-5A, OWCP-5b, and OWCP-5c.

Frequency: As needed.

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

profit; Federal Government.

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

Reponse time per

Form Total Responses respondent Burden hours

respondents (minutes)

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

CA-7.................................... 200 200 20 67

CA-8.................................... 200 200 5 17

CA-16B.................................. 157,000 157,000 5 13,083

CA-17B.................................. 134,000 134,000 5 11,167

CA-20................................... 92,000 92,000 5 7,667

CA-20a.................................. 20,000 20,000 5 1,667

CA-1090................................. 800 800 5 67

CA-1303................................. 4,000 4,000 20 1,333

CA-1305................................. 80 80 20 27

CA-1306................................. 25 25 10 4

CA-1314................................. 1,200 1,200 20 400

CA-1316................................. 1,100 1,100 10 183

CA-1331................................. 750 750 5 63

CA-1332................................. 1,500 1,500 30 750

CA-1336................................. 2,000 2,000 5 167

OWCP-5a................................. 7,000 7,000 15 1,750

OWCP-5b................................. 5,000 5,000 15 1,250

OWCP-5c................................. 15,000 15,000 15 3,750

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

Totals............................ 441,855 441,855 ................ 43,412

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

Total Annualized capital/startup costs: 0.

Total annual costs (operating/maintaining systems or purchasing

services): $154,649.

Description: The information collected by these forms is used by

claims examiners to determine eligibility for and the computation of

benefits. The claim forms with supporting medical evidence are used to

determine whether or not the claimant is entitled to compensation for

disability for work or permanent impairment of a scheduled member; the

appropriate period, rate of pay, compensation rate, and any concurrent

employment or dual benefits, and third-party credit. Without the

requested information, an eligible beneficiary could be denied

benefits, or benefits could be authorized at an incorrect rate,

resulting in an underpayment or overpayment of compensation.

Agency: Mine Safety Health Administration.

Title: Quarterly Mine Employment and Coal Production Report.

OMB Number: 1219-0006.

Agency Number: 7000-2.

Frequency: Quarterly.

Affected Public: Business or other for-profit.

Number of Respondents: 83,594.

Estimated Time Per Respondent: 34 minutes.

Total Burden Hours: 46,680.

Total Annualized capital/startup costs: 0.

Total annual costs (operating/maintaining systems or purchasing

services): $27,000.

Description: Requires mine operators to report to MSHA quarterly

employment levels and coal production. Employment and production data

when correlated with accident and injury data provide information for

making

[[Page 41430]]

decisions on improving safety and health enforcement programs, focusing

education and training efforts, and establishing priorities in

technical assistance activities in mine safety and health.

Agency: Mine Safety Health Administration.

Title: Quarterly Mine Employment and Coal Production Report.

OMB Number: 1219-0007.

Agency Number: 7000-1.

Frequency: On occasion.

Affected Public: Business or other for-profit.

Number of Respondents: 56,759.

Estimated Time Per Respondent: 30 minutes.

Total Burden Hours: 28,380.

Total Annualized capital/startup costs: 0.

Total annual costs (operating/maintaining systems or purchasing

services): $23,200.

Description: Mine operators are required to submit form 7000-1 to

the Mine Safety Health Administration to report on accidents, injuries,

and illnesses at their mines shortly after an accident or injury has

occurred or a work-related illness has been identified. The use of the

form provides for uniform information gathering.

Theresa M. O'Malley,

Acting Departmental Clearance Officer.

[FR Doc. 96-20185 Filed 8-7-96; 8:45 am]

BILLING CODE 4510-27-M, 4510-43-M