Proposed Collection; Comment Request, 9109-9110 [05-3491]
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Federal Register / Vol. 70, No. 36 / Thursday, February 24, 2005 / Notices
DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review;
Comment Request
February 14, 2005.
The Department of Labor (DOL) has
submitted the following public
information collection request (ICR) to
the Office of Management and Budget
(OMB) for review and approval in
accordance with the Paperwork
Reduction Act of 1995 (Pub. L. 104–13,
44 U.S.C. Chapter 35). A copy of each
ICR, with applicable supporting
documentation, may be obtained by
contacting the Department of Labor
(DOL). To obtain documentation,
contact Ira Mills on 202–693–4122 (this
is not a toll-free number) or e-mail:
mills.ira@dol.gov.
Comments should be sent to Office of
Information and Regulatory Affairs,
Attn: OMB Desk Officer for DOL, Office
of Management and Budget, Room
10235, Washington, DC 20503 202–395–
7316 (this is not a toll-free number),
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: Veterans’ Employment and
Training Service.
Type of Review: Extension of a
currently approved collection.
Title: Federal Contractor Veterans’
Employment Report (VETS–100)
OMB Number: 1293–0005.
Frequency: Annually.
Affected Public: Business or other forprofit; Not-for-profit institutions.
Number of Respondents: 187,755.
Number of Annual Responses:
187,755.
VerDate jul<14>2003
18:49 Feb 23, 2005
Jkt 205001
Total Burden Hours: 140,816.
Estimated Time Per Response: 45
minutes.
Total annualized capital/startup
costs: $0.
Total annual costs (operating/
maintaining systems or purchasing
services): $0.
Description: The Federal Contractor
Veterans’ Employment Report VETS–
100, administered by U.S. Department
of Labor, is used to facilitate Federal
contractors and subcontractors reporting
of their employment and new hiring
activities. Title 38 U.S.C., Section 4212
requires the collection of information
from entities holding contracts of
$25,000 or more with Federal
departments or agencies to report
annually on (a) the number of current
employees in each job category and at
each hiring location who are special
disabled veterans, the number who are
veterans of the Vietnam era and the
number who are other veterans who
served on active duty during a war or
a campaign or expedition for which a
campaign badge has been authorized; (b)
the total number of employees hired
during the report period and of those,
the number of special disabled, the
number who are veterans of the Vietnam
era, and the number who are other
veterans; and the maximum and
minimum number of employees
employed by the contractor at each
hiring location during the period.
Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 05–3493 Filed 2–23–05; 8:45 am]
BILLING CODE 4510–79–P
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
PO 00000
Frm 00079
Fmt 4703
Sfmt 4703
9109
requirements on respondents can be
properly assessed. Currently, the
Employment Standards Administration
is soliciting comments concerning the
proposed collection: FECA Medical
Report Forms, Claim for Compensation
(CA–7, CA–16, CA–17, CA–20, CA–
1090, CA–1303, CA–1305, CA–1331,
CA–1087, CA–1332, QCM Letters,
OWCP–5a, OWCP–5b, and OWCP–5c).
A copy of the proposed information
collection request can be obtained by
contacting the office listed below in the
ADDRESSES section of this Notice.
DATES: Written comments must be
submitted to the office listed in the
ADDRESSES section below on or before
April 25, 2005.
ADDRESSES: Ms. Hazel M. Bell, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0418,
fax (202) 693–1451, E-mail
bell.hazel@dol.gov. Please use only one
method of transmission for comments
(mail, fax, or E-mail).
SUPPLEMENTARY INFORMATION: FECA
Medical Report Forms (CA–16, CA–17,
CA–20, CA–1090, CA–1303, CA–1305,
CAT–1331, CA–1087, CA–1332, QCM
Letters, OWCP–5a, OWCP–5b, and
OWCP–5c) and Claim for Compensation
(CA–7).
I. Background
The Office of Workers’ Compensation
Programs (OWCP) administers the
Federal Employees’ Compensation Act
(FECA), 5 U.S.C. 8101 et seq. The statute
provides for the payment of benefits for
wage loss and/or for permanent
impairment to a scheduled member,
arising out of a work related injury or
disease. The Act outlines the elements
of pay which are to be included in an
individual’s pay rate, and sets forth
various other criteria for determining
eligibility to and the amount of benefits,
including augmentation of basic
compensation for individuals with
qualifying dependents; a requirement to
report any earnings during a period that
compensation is claimed; a prohibition
against concurrent receipt of FECA
benefits and benefits from OPM or
certain VA benefits; a mandate that
money collected from a liable third
party found responsible for the injury
for which compensation has been paid
be applied to benefits paid or payable.
Before compensation may be paid, the
case file must contain medical evidence
showing that the claimant’s disability is
casually related to the claimants’ federal
employment. As a particular claim ages,
there is a continuing need for updated
information to support continuing
benefits. The FECA Medical Report
E:\FR\FM\24FEN1.SGM
24FEN1
9110
Federal Register / Vol. 70, No. 36 / Thursday, February 24, 2005 / Notices
Forms collect medical information from
physicians which are necessary to
determine entitlement to benefits under
the Act. The CA–7, Claim for
Compensation, requests information
from the injured worker regarding pay
rate, dependents, earnings, dual
benefits, and third-party information.
This information collection is currently
approved for use through August 31,
2005.
II. Review Focus
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.
III. Current Actions
The Department of Labor seeks the
approval of the extension of this
information collection in order carry out
its statutory responsibility to
compensate injured employees under
the provisions of the Act.
Type of Review: Extension.
Agency: Employment Standards
Administration.
Titles: Claim for Compensation, FECA
Medical Reports.
OMB Number: 1215–0103.
Agency Numbers: FECA Medical
Report Forms (CA–16, CA–17, CA–20,
CA–1090, CA–1303, CA–1305, CA–
1331, CA–1087, CA–1332, QCM Letters,
OWCP–5a, OWCP–5b, and OWCP–5c)
and Claim for Compensation (CA–7).
Affected Public: Individuals or
households; Business or other for-profit;
Federal Government.
Total Respondents: 302,485.
Total Annual Responses: 302,485.
Estimated Total Burden Hours:
30,748.
Number of
respondents
Forms
Average minutes per
response
Burden
hours
CA–7 ............................................................................................................................................
CA–16 ..........................................................................................................................................
CA–17 ..........................................................................................................................................
CA–20 ..........................................................................................................................................
CA–1090 ......................................................................................................................................
CA–1303 ......................................................................................................................................
CA–1305 ......................................................................................................................................
CA–1331 ......................................................................................................................................
CA–1332 ......................................................................................................................................
QCM Letters ................................................................................................................................
OWCP–5a ....................................................................................................................................
OWCP–5b ....................................................................................................................................
OWCP–5c ....................................................................................................................................
400
130,000
60,000
80,000
325
3,000
10
250
500
1,000
7,000
5,000
15,000
13
5
5
5
10
20
20
5
30
5
15
15
15
87
10,833
5,000
6,667
54
1,000
3
21
250
83
1,750
1,250
3,750
Total ......................................................................................................................................
302,485
163
30,748
Frequency: As needed.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $120,994.00.
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: February 17, 2005.
Sue Blumenthal,
Acting Chief, Branch of Management Review
and Internal Control, Division of Financial
Management, Office of Management,
Administration and Planning, Employment
Standards Administration.
[FR Doc. 05–3491 Filed 2–23–05; 8:45 am]
BILLING CODE 4510–CH–P
VerDate jul<14>2003
18:49 Feb 23, 2005
Jkt 205001
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
PO 00000
Frm 00080
Fmt 4703
Sfmt 4703
understood, and the impact of collection
requirements on respondents can be
properly assessed. Currently, the
Employment Standards Administration
is soliciting comments concerning the
proposed collection: Rehabilitation
Action Report (OWCP–44). A copy of
the proposed information collection
request can be obtained by contacting
the office listed below in the ADDRESSES
section of this Notice.
DATES: Written comments must be
submitted to the office listed in the
ADDRESSES section below on or before
April 25, 2005.
ADDRESSES: Ms. Hazel M. Bell, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0418,
fax (202) 693–1451, E-mail
bell.hazel@dol.gov. Please use only one
method of transmission for comments
(mail, fax, or E-mail).
SUPPLEMENTARY INFORMATION:
E:\FR\FM\24FEN1.SGM
24FEN1
]]>Agencies
[Federal Register Volume 70, Number 36 (Thursday, February 24, 2005)]
[Notices]
[Pages 9109-9110]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3491]
-----------------------------------------------------------------------
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 collection: FECA Medical Report Forms,
Claim for Compensation (CA-7, CA-16, CA-17, CA-20, CA-1090, CA-1303,
CA-1305, CA-1331, CA-1087, CA-1332, QCM Letters, OWCP-5a, OWCP-5b, and
OWCP-5c). A copy of the proposed information collection request can be
obtained by contacting the office listed below in the ADDRESSES section
of this Notice.
DATES: Written comments must be submitted to the office listed in the
ADDRESSES section below on or before April 25, 2005.
ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0418, fax (202) 693-1451, E-mail bell.hazel@dol.gov. Please
use only one method of transmission for comments (mail, fax, or E-
mail).
SUPPLEMENTARY INFORMATION: FECA Medical Report Forms (CA-16, CA-17, CA-
20, CA-1090, CA-1303, CA-1305, CAT-1331, CA-1087, CA-1332, QCM Letters,
OWCP-5a, OWCP-5b, and OWCP-5c) and Claim for Compensation (CA-7).
I. Background
The Office of Workers' Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA), 5 U.S.C. 8101 et seq. The
statute provides for the payment of benefits for wage loss and/or for
permanent impairment to a scheduled member, arising out of a work
related injury or disease. The Act outlines the elements of pay which
are to be included in an individual's pay rate, and sets forth various
other criteria for determining eligibility to and the amount of
benefits, including augmentation of basic compensation for individuals
with qualifying dependents; a requirement to report any earnings during
a period that compensation is claimed; a prohibition against concurrent
receipt of FECA benefits and benefits from OPM or certain VA benefits;
a mandate that money collected from a liable third party found
responsible for the injury for which compensation has been paid be
applied to benefits paid or payable. Before compensation may be paid,
the case file must contain medical evidence showing that the claimant's
disability is casually related to the claimants' federal employment. As
a particular claim ages, there is a continuing need for updated
information to support continuing benefits. The FECA Medical Report
[[Page 9110]]
Forms collect medical information from physicians which are necessary
to determine entitlement to benefits under the Act. The CA-7, Claim for
Compensation, requests information from the injured worker regarding
pay rate, dependents, earnings, dual benefits, and third-party
information. This information collection is currently approved for use
through August 31, 2005.
II. Review Focus
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.
III. Current Actions
The Department of Labor seeks the approval of the extension of this
information collection in order carry out its statutory responsibility
to compensate injured employees under the provisions of the Act.
Type of Review: Extension.
Agency: Employment Standards Administration.
Titles: Claim for Compensation, FECA Medical Reports.
OMB Number: 1215-0103.
Agency Numbers: FECA Medical Report Forms (CA-16, CA-17, CA-20, CA-
1090, CA-1303, CA-1305, CA-1331, CA-1087, CA-1332, QCM Letters, OWCP-
5a, OWCP-5b, and OWCP-5c) and Claim for Compensation (CA-7).
Affected Public: Individuals or households; Business or other for-
profit; Federal Government.
Total Respondents: 302,485.
Total Annual Responses: 302,485.
Estimated Total Burden Hours: 30,748.
----------------------------------------------------------------------------------------------------------------
Average
Forms Number of minutes per Burden hours
respondents response
----------------------------------------------------------------------------------------------------------------
CA-7............................................................ 400 13 87
CA-16........................................................... 130,000 5 10,833
CA-17........................................................... 60,000 5 5,000
CA-20........................................................... 80,000 5 6,667
CA-1090......................................................... 325 10 54
CA-1303......................................................... 3,000 20 1,000
CA-1305......................................................... 10 20 3
CA-1331......................................................... 250 5 21
CA-1332......................................................... 500 30 250
QCM Letters..................................................... 1,000 5 83
OWCP-5a......................................................... 7,000 15 1,750
OWCP-5b......................................................... 5,000 15 1,250
OWCP-5c......................................................... 15,000 15 3,750
-----------------
Total....................................................... 302,485 163 30,748
----------------------------------------------------------------------------------------------------------------
Frequency: As needed.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $120,994.00.
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: February 17, 2005.
Sue Blumenthal,
Acting Chief, Branch of Management Review and Internal Control,
Division of Financial Management, Office of Management, Administration
and Planning, Employment Standards Administration.
[FR Doc. 05-3491 Filed 2-23-05; 8:45 am]
BILLING CODE 4510-CH-P
