Proposed Collection; Comment Request

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 requirements on respondents can be properly assessed.

Currently, the Employment Standards Administration is soliciting

comments concerning the proposed revision collection of FECA Medical

Report Forms: CA-7, CA-8, CA-16b, CA-20, CA-20a, CA-1090, CA-1303, CA-

1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336, OWCP-5a,

OWCP-5b, and OWCP-5c. 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 June 15, 1998. 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.

ADDRESSES: Contact Ms. Patricia Forkel at the U.S. Department of Labor,

200 Constitution Avenue, NW., Room S-3201, Washington, DC 20210,

telephone (202) 219-7601. The Fax number is (202) 219-6592. (These are

not toll-free numbers.)

SUPPLEMENTARY INFORMATION:

I. Background

Statute 5 U.S.C. 8101 et seq. of the Federal Employees'

Compensation Act provides for the payment of benefits for wage loss

and/or for permanent payment to a scheduled member, arising out of a

work related injury or disease. The CA-7 and CA-8 request information

allowing the Office of Workers' Compensation Programs to fulfill its

statutory requirements for the period of compensation claimed (e.g.,

the pay rate, dependents, earnings, dual benefits, and third party

information). The other forms in this proposed revision collection

collect medical information necessary to determine entitlements to

benefits.

II. Current Actions

The Department of Labor (DOL) seeks approval of the revision of

this information collection to collect information in order to carry

out its responsibility to determine eligibility for and the

compensation of benefits. For ease of completion, the CA-8 has been

eliminated and the CA-7 has been extensively revised to combine all

elements from the CA-8. The CA-20a has been eliminated; former

respondents to the CA-20a will now complete the CA-20. All other forms

remain unchanged.

Type of Review: Revision.

Agency: Employment Standards Administration.

Title: FECA Medical Report Forms.

OMB Number: 1215-0103.

Agency Numbers: CA-7, CA-16b, CA-17b, CA-20, CA-1090, CA-1303, CA-

1305, CA-1306, CA-1314, CA-1316, CA-1331, CA-1332, CA-1336, OWCP-5a,

OWCP-5b, OWCP-5c.

Affected Public: Business or other for-profit; Federal Government;

individuals or households.

Total Respondents: 441,855.

Frequency: As needed.

Total Responses: 441,855.

Estimated Total Burden Hours: 43,414.

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

Average

Form Respondents Responses minutes per Burden hours

response

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

CA-7............................................ 400 400 13 87

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

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

CA-20........................................... 112,000 112,000 5 9,333

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

[[Page 18232]]

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

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

Total Burden Cost (capital/startup): 0.

Total Burden Cost (operating and maintenance): $154,649.

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: March 7, 1998.

Cecily A. Rayburn,

Director, Division of Financial Management, Office of Management,

Administration and Planning, Employment Standards Administration.

[FR Doc. 98-9831 Filed 4-13-98; 8:45 am]

BILLING CODE 4510-27-P