Submission for OMB Review: Comment Request, 28522-28524 [E7-9694]
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28522
Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices
Spansion LLC, 915 Deguigne Drive, P.O.
Box 3453, Sunnyvale, California
94088–3453.
STMicroelectronics N.V., 39, Chemin
de Champ des Filles, 1228 Plan-LesOuates, Geneva, Switzerland.
(c) The Commission investigative
attorney, party to this investigation, is
Kecia J. Reynolds, Esq., Office of Unfair
Import Investigations, U.S. International
Trade Commission, 500 E Street, SW.,
Suite 401, Washington, DC 20436; and
(3) For the investigation so instituted,
the Honorable Robert L. Barton, Jr. is
designated as the presiding
administrative law judge.
Responses to the complaint and the
notice of investigation must be
submitted by the named respondents in
accordance with section 210.13 of the
Commission’s Rules of Practice and
Procedure, 19 CFR 210.13. Pursuant to
19 CFR 201.16(d) and 210.13(a), such
responses will be considered by the
Commission if received not later than 20
days after the date of service by the
Commission of the complaint and the
notice of investigation. Extensions of
time for submitting responses to the
complaint and the notice of
investigation will not be granted unless
good cause therefor is shown.
Failure of a respondent to file a timely
response to each allegation in the
complaint and in this notice may be
deemed to constitute a waiver of the
right to appear and contest the
allegations of the complaint and this
notice, and to authorize the
administrative law judge and the
Commission, without further notice to
the respondent, to find the facts to be as
alleged in the complaint and this notice
and to enter an initial determination
and a final determination containing
such findings, and may result in the
issuance of a limited exclusion order or
a cease and desist order or both directed
against the respondent.
Issued: May 15, 2007.
By order of the Commission.
Marilyn R. Abbott,
Secretary.
[FR Doc. E7–9640 Filed 5–18–07; 8:45 am]
BILLING CODE 7020–02–P
DEPARTMENT OF LABOR
pwalker on PROD1PC71 with NOTICES
Office of the Secretary
Submission for OMB Review:
Comment Request
May 15, 2007.
The Department of Labor (DOL) has
submitted the following public
information collection requests (ICR) to
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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 from
RegInfo.gov at https://www.reginfo.gov/
public/do/PRAMain or by contacting
Darrin King on 202–693–4129 (this is
not a toll-free number)/e-mail:
king.darrin@dol.gov.
Comments should be sent to Office of
Information and Regulatory Affairs,
Attn: OMB Desk Officer for the
Employment Standards Administration
(ESA), Office of Management and
Budget, Room 10235, Washington, DC
20503, Telephone: 202–395–7316/Fax:
202–395–6974 (these are not a toll-free
numbers), 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.
Type of Review: Extension without
change of currently approved collection.
Title: Records to be kept by
Employers—FLSA.
OMB Number: 1215–0017.
Form Number: N/A.
Frequency: On occasion.
Type of Response: Recordkeeping.
Affected Public: Private sector:
Business or other for-profits, Farms,
Not-for-profit institutions; Individuals
or households; and State, Local, or
Tribal government.
Estimated Number of Respondents:
5,800,000.
Estimated Number of Annual
Responses: 41,442,427.
Estimated Average Response Time:
Varies.
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Estimated Total Annual Burden
Hours: 1,023,678.
Total Estimated Annualized capital/
startup costs: $0.
Total Estimated Annual Costs
(operating/maintaining systems or
purchasing services): $0.
Description: The Department uses this
information to determine whether
covered employers have complied with
various the Fair Labor Standards Act
(FLSA), 29 U.S.C. § 201, et seq.
Employers use the records to document
FLSA compliance, including showing
qualification for various FLSA
exemptions.
Agency: Employment Standards
Administration.
Type of Review: Extension without
change of currently approved collection.
Title: Motor Vehicle Safety for
Transportation of Migrant and Seasonal
Agricultural Workers
OMB Number: 1215–0036.
Form Numbers: WH–514, WH–514A,
and WH–515.
Frequency: On occasion.
Type of Response: Reporting and
Recordkeeping.
Affected Public: Business and other
for-profit and Federal Government.
Estimated Number of Respondents:
300.
Estimated Number of Annual
Responses: 3,900.
Estimated Average Response Time: 5
minutes for the Forms WH–514, WH–
514A, and WH–515 and approximately
20 minutes for physical examination by
a physician.
Estimated Total Annual Burden
Hours: 885.
Total Annualized capital/startup
costs: $0.
Total Annual Costs (operating/
maintaining systems or purchasing
services): $215,100.
Description: Migrant and Seasonal
Agricultural Worker Protection Act
(MSPA) section 401 (29 U.S.C. 1841)
requires, subject to certain exceptions,
all Farm Labor Contractors (FLCs),
Agricultural Employers (AGERs), and
Agricultural Associations (AGASs) to
ensure that any vehicle they use or
cause to be used to transport or drive
any migrant or seasonal agricultural
worker conforms to safety and health
standards prescribed by the Secretary of
Labor under the MSPA and with other
applicable Federal and State safety and
health standards. These MSPA safety
standards address the vehicle, driver,
and insurance.
Consistent with MSPA subsections
401(b)(2)(C)–(D), the U.S. Department of
Labor (DOL), Wage and Hour Division
(WHD), has issued regulations setting
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forth the vehicle safety standards that
must be met to ensure the safe
transportation of migrant/seasonal
agricultural workers. See 29 U.S.C.
1841(b)(2)(C)–(D); 29 CFR 500.100–102,
104–105. These regulations (1) issue
unique DOL standards for certain types
of transportation and (2) adopt U.S.
Department of Transportation (DOT)
standards for other types of
transportation, without regard to the
mileage or boundary limitations found
at 49 U.S.C. § 31502(c). The regulations
require FLCs to submit a mechanical
inspection report and a doctor’s
certificate when they seek authorization
to transport migrant/seasonal
agricultural workers. 29 CFR 500.45(b).
The regulations also require FLCs,
AGERs, AGASs, and Farm Labor
Contractor Employees (FLCEs) who
drive vehicles transporting migrant/
seasonal agricultural workers to
maintain a copy of the doctor’s
certificate. 29 CFR 500.105(1)(H)–(I).
The WHD has created Forms WH–
514, WH–514a, and WH–515, which
allow FLC applicants to verify to the
WHD that the vehicles used to transport
migrant/seasonal agricultural workers
meet the MSPA vehicle safety standards
and that anyone who drives such
workers meets the Act’s minimum
physical requirements. The WHD uses
the information in deciding whether to
authorize the FLC/FLCE applicant to
transport/drive any migrant/seasonal
agricultural workers or to cause such
transportation.
Agency: Employment Standards
Administration.
Type of Review: Extension without
change of currently approved collection.
Title: Medical Travel Refund Request.
OMB Number: 1215–0054.
Form Numbers: OWCP–957.
Frequency: On occasion.
Type of Response: Reporting.
Affected Public: Individuals and
households.
Estimated Number of Respondents:
163,236.
Estimated Number of Annual
Responses: 163,236.
Estimated Average Response Time: 10
minutes.
Estimated Total Annual Burden
Hours: 27,097.
Total Annualized capital/startup
costs: $0.
Total Annual Costs (operating/
maintaining systems or purchasing
services): $68,559.
Description: The Office of Workers’
Compensation Programs (OWCP) is the
agency responsible for administration of
the Federal Employees’ Compensation
Act (FECA), 5 U.S.C. 8101 et seq., the
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Black Lung Benefits Act (BLBA), 30
U.S.C. 901 et seq., and the Energy
Employees Occupational Illness
Compensation Program Act of 2000
(EEOICPA), 42 U.S.C. 7384 et seq. All
three of these statutes require that
OWCP reimburse beneficiaries for travel
expenses for covered medical treatment.
In order to determine whether amounts
requested as travel expenses are
appropriate, OWCP must receive certain
data elements, including the signature
of the physician for medical expenses
claimed under the BLBA. Form OWCP–
957 is the standard format for the
collection of these data elements. The
regulations implementing these three
statutes allow for the collection of
information needed to enable OWCP to
determine if reimbursement requests for
travel expenses should be paid. (20 CFR
10.315, 30.404, 725.406 and 725.701).
Form OWCP–957 is used by OWCP
and contractor bill processing staff to
process reimbursement requests for
travel expenses. To enable OWCP and
its contractor bill processing staff to
consider the appropriateness of the
request in a timely fashion, it is
essential that request include all of the
data elements needed to evaluate the
request. If all the data elements required
by OWCP are not collected, the
contractor staff cannot process the
request for reimbursement.
Agency: Employment Standards
Administration.
Type of Review: Extension without
change of currently approved collection.
Title: Claim for Reimbursement of
Benefit Payments and Claims Expense
Under the War Hazards Compensation
Act.
OMB Number: 1215–0202.
Form Numbers: CA–278.
Frequency: On occasion.
Type of Response: Reporting.
Affected Public: Private Sector:
Business or other for-profit.
Estimated Number of Respondents: 7.
Estimated Number of Annual
Responses: 140.
Estimated Average Response Time: 30
minutes.
Estimated Total Annual Burden
Hours: 70.
Total Annualized capital/startup
costs: $0.
Total Annual Costs (operating/
maintaining systems or purchasing
services): $239.
Description: The Office of Workers’
Compensation Programs (OWCP) is the
federal agency responsible for
administration of the War Hazards
Compensation Act (WHCA), 42 U.S.C.
1701 et seq. Under section 1704(a) of the
WHCA, an insurance carrier or self-
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28523
insured who has paid workers’
compensation benefits to or on account
of any person for a war-risk hazard may
seek reimbursement for benefits paid
(plus expenses) out of the Employees
Compensation Fund for the Federal
Employees’ Compensation Act (FECA)
at 5 U.S.C. 8147.
Form CA 278 is used by insurance
carriers and the self-insured to request
reimbursement. The regulations that
implement the WHCA permit OWCP to
collect the information needed to
consider an insurance carrier’s or selfinsured’s reimbursement request at 20
CFR 61.101 and 61.104.
The information collected is used by
OWCP staff to process requests for
reimbursement of WHCA benefit
payments and claims expenses
submitted by insurance carriers and
self-insureds. The information is also
used by OWCP to decide whether it
should opt to pay ongoing WHCA
benefits directly to the injured worker.
Agency: Employment Standards
Administration.
Type of Review: Extension without
change of currently approved collection.
Title: Securing Financial Obligations
Under the Longshore and Harbor
Workers’ Compensation Act and its
Extensions.
OMB Number: 1215–0204.
Form Numbers: LS–275–IC, LS–275–
SI, and LS–276.
Frequency: On occasion and
Annually.
Type of Response: Reporting.
Affected Public: Private Sector:
Business or other for-profit and Not-forprofit institutions.
Estimated Number of Respondents:
646.
Estimated Number of Annual
Responses: 646.
Estimated Average Response Time: 1
hour for the Form LS–276 and 15
minutes for the Forms LS–275IC and
LS–275SI.
Estimated Total Annual Burden
Hours: 434.
Total Annualized capital/startup
costs: $0.
Total Annual Costs (operating/
maintaining systems or purchasing
services): $288.
Description: The Longshore and
Harbor Workers’ Compensation Act
requires covered employers to secure
the payment of compensation under the
Act and its extensions by purchasing
insurance from a carrier authorized by
the Secretary of Labor to write
Longshore Act insurance, or by
becoming authorized self-insured
employers (33 U.S.C. 932). Each
authorized insurance carrier (or carrier
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Federal Register / Vol. 72, No. 97 / Monday, May 21, 2007 / Notices
seeking authorization) is required to
establish annually that its Longshore
Act obligations are fully secured either
through an applicable state guaranty (or
analogous) fund, a deposit of security
with the Division of Longshore and
Harbor Workers’ Compensation
(DLHWC), or a combination of both.
Similarly, each authorized self-insurer
(or employer seeking authorization) is
required to fully secure its Longshore
Act obligations by depositing security
with DLHWC. These requirements are
designed to assure the prompt and
continued payment of compensation
and other benefits by the responsible
carrier or self-insurer to injured workers
and their survivors.
Forms collect information used for
determining appropriate security
deposit amounts and insuring
compliance with the security deposit
requirements are described below.
LS–276, Application for Security
Deposit Determination. Each currently
authorized carrier and any carrier
seeking such authorization must apply
annually for a determination of the
amount of security it must deposit with
DLHWC by completing Form LS–276.
DLHWC will use the information
collected on Form LS–276 to determine
the required security deposit amount for
each carrier in light of the applicable
state guaranty fund coverage.
Regulations establishing this
requirement are set forth at 20 CFR
703.2, 703.203, 703.209, 703.210, and
703.212.
LS–275 IC, Agreement and
Undertaking (Insurance Carrier); LS–275
SI, Agreement and Undertaking (SelfInsured Employer). After DLHWC
determines the amount of the required
security deposit, the insurance carrier or
self-insured employer executes Form
LS–275 IC or LS–275 SI, respectively,
to: (1) Report the security it has
deposited and grant the Department a
security interest in the collateral; (2)
agree to abide by the Department’s rules;
and (3) authorize the Department to
bring suit on any deposited indemnity
bond, draw upon any deposited letters
of credit, or to collect the interest and
principal or sell any deposited
negotiable securities when it deems it
necessary to assure the carrier’s or selfinsurer’s prompt payment of
compensation and any other Longshore
Act obligations it has. DLHWC reviews
the information collected and verifies
that the carrier or self-insurer has
deposited the correct amount of
security. DLHWC uses this information
if it takes action on the security
deposited to assure that the carrier or
self-insurer meets its Longshore Act
obligations. Regulations establishing
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these requirements are set forth at 20
CFR 703.2, 703.204, 703.205, 703.303
and 703.304.
Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. E7–9694 Filed 5–18–07; 8:45 am]
BILLING CODE 4510–CF–P
DEPARTMENT OF LABOR
Employment and Training
Administration
YouthBuild; Solicitation for Grant
Applications (SGA); SGA/DFA–PY 06–
08 Amendment No. 1
Employment and Training
Administration (ETA), Labor.
ACTION: Amendment.
AGENCY:
SUMMARY: The Employment and
Training Administration published a
document in the Federal Register of
April 26, 2007, announcing the
availability of funds and solicitation for
grant applications for YouthBuild
Grants to provide disadvantaged youth
with the education and employment
skills for meaningful work and service
to their communities. The document is
hereby amended.
FOR FURTHER INFORMATION CONTACT:
Donna Kelly, Grants Management
Specialist, Telephone (202) 693–3934.
Amendment
In the Federal Register of April 26,
2007, in FR Volume 72, Number 80:
1. On page 20877, starting in the
middle column, the question ‘‘Can a
National or Regional Organization
Apply to Serve Multiple Urban or Rural
Communities?’’ and its answer is now
deleted from the solicitation.
The solicitation is amended to add the
following question: Can I Apply For
Multiple Towns in One Application? If
a town is large enough to reasonably
support a YouthBuild program, the
grant activities should generally be
focused on one town. If the applicant
determines that the town is not large
enough to support a YouthBuild
program, it may include additional
towns and provide justification for the
larger service area. If multiple towns are
included together in the application,
applicants must limit the total requested
grant amount to $1.1 million.
2. On page 20878, in the middle
column, Part III. (A) Eligible Applicants,
it states the following: An organization
is an eligible applicant for these grants
if it is a public or private nonprofit
agency or organization (including a
consortium of such agencies or
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Sfmt 4703
organizations with a designated lead
applicant), including:
The solicitation is amended to read:
An organization is an eligible applicant
for these grants if it is a public or private
nonprofit agency or organization
(including a consortium of such
agencies or organizations with a
designated lead applicant), including,
but not limited to:
3. On page 20878, in the left column,
under Section I.D, ‘‘What Are Allowable
Uses of Grant Funds’’? (13), it states the
following: Equipment, and/or supplies
related to the YouthBuild activities
funded through this grant are an
allowable use of funds.
The solicitation is amended to add the
following statement: The Department of
Labor interprets this to mean that the
purchase of construction materials to be
used for houses as part of the training
for YouthBuild participants would be an
allowable use of grant funds.
4. On page 20878, in the right column,
Section III.C. Matching Funds and
Leveraged Resources. The solicitation is
amended to add the following
statement: Construction materials that
are acquired without grant funds and
are used for houses as part of the
training for YouthBuild participants
may be used in fulfilling the 25 percent
match requirement. The match may be
cash or in-kind resources and must meet
all the requirements in accordance with
the applicable Federal cost principles.
5. YouthBuild ‘‘Frequently Asked
Questions (FAQs)’’ will be posted on the
Department of Labor, Employment &
Training Administration, Youth
Services Web site and may be accessed
at https://www.doleta.gov/
youth_services/YouthBuild.cfm. The
FAQs may be updated during the life of
the competition.
Signed at Washington, DC, this 14th day of
May, 2007.
Eric Luetkenhaus,
Grant Officer, Employment & Training
Administration.
[FR Doc. E7–9654 Filed 5–18–07; 8:45 am]
BILLING CODE 4510–FT–P
NATIONAL CREDIT UNION
ADMINISTRATION
Notice of Meeting
Time and Date: 10 a.m., Thursday,
May 24, 2007.
Place: Board Room, 7th Floor, Room
7047, 1775 Duke Street, Alexandria, VA
22314–3428.
Status: Open.
Matters to be Considered:
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]]>Agencies
[Federal Register Volume 72, Number 97 (Monday, May 21, 2007)]
[Notices]
[Pages 28522-28524]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-9694]
=======================================================================
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DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review: Comment Request
May 15, 2007.
The Department of Labor (DOL) has submitted the following public
information collection requests (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
from RegInfo.gov at https://www.reginfo.gov/public/do/PRAMain or by
contacting Darrin King on 202-693-4129 (this is not a toll-free
number)/e-mail: king.darrin@dol.gov.
Comments should be sent to Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for the Employment Standards
Administration (ESA), Office of Management and Budget, Room 10235,
Washington, DC 20503, Telephone: 202-395-7316/Fax: 202-395-6974 (these
are not a toll-free numbers), 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.
Type of Review: Extension without change of currently approved
collection.
Title: Records to be kept by Employers--FLSA.
OMB Number: 1215-0017.
Form Number: N/A.
Frequency: On occasion.
Type of Response: Recordkeeping.
Affected Public: Private sector: Business or other for-profits,
Farms, Not-for-profit institutions; Individuals or households; and
State, Local, or Tribal government.
Estimated Number of Respondents: 5,800,000.
Estimated Number of Annual Responses: 41,442,427.
Estimated Average Response Time: Varies.
Estimated Total Annual Burden Hours: 1,023,678.
Total Estimated Annualized capital/startup costs: $0.
Total Estimated Annual Costs (operating/maintaining systems or
purchasing services): $0.
Description: The Department uses this information to determine
whether covered employers have complied with various the Fair Labor
Standards Act (FLSA), 29 U.S.C. Sec. 201, et seq. Employers use the
records to document FLSA compliance, including showing qualification
for various FLSA exemptions.
Agency: Employment Standards Administration.
Type of Review: Extension without change of currently approved
collection.
Title: Motor Vehicle Safety for Transportation of Migrant and
Seasonal Agricultural Workers
OMB Number: 1215-0036.
Form Numbers: WH-514, WH-514A, and WH-515.
Frequency: On occasion.
Type of Response: Reporting and Recordkeeping.
Affected Public: Business and other for-profit and Federal
Government.
Estimated Number of Respondents: 300.
Estimated Number of Annual Responses: 3,900.
Estimated Average Response Time: 5 minutes for the Forms WH-514,
WH-514A, and WH-515 and approximately 20 minutes for physical
examination by a physician.
Estimated Total Annual Burden Hours: 885.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $215,100.
Description: Migrant and Seasonal Agricultural Worker Protection
Act (MSPA) section 401 (29 U.S.C. 1841) requires, subject to certain
exceptions, all Farm Labor Contractors (FLCs), Agricultural Employers
(AGERs), and Agricultural Associations (AGASs) to ensure that any
vehicle they use or cause to be used to transport or drive any migrant
or seasonal agricultural worker conforms to safety and health standards
prescribed by the Secretary of Labor under the MSPA and with other
applicable Federal and State safety and health standards. These MSPA
safety standards address the vehicle, driver, and insurance.
Consistent with MSPA subsections 401(b)(2)(C)-(D), the U.S.
Department of Labor (DOL), Wage and Hour Division (WHD), has issued
regulations setting
[[Page 28523]]
forth the vehicle safety standards that must be met to ensure the safe
transportation of migrant/seasonal agricultural workers. See 29 U.S.C.
1841(b)(2)(C)-(D); 29 CFR 500.100-102, 104-105. These regulations (1)
issue unique DOL standards for certain types of transportation and (2)
adopt U.S. Department of Transportation (DOT) standards for other types
of transportation, without regard to the mileage or boundary
limitations found at 49 U.S.C. Sec. 31502(c). The regulations require
FLCs to submit a mechanical inspection report and a doctor's
certificate when they seek authorization to transport migrant/seasonal
agricultural workers. 29 CFR 500.45(b). The regulations also require
FLCs, AGERs, AGASs, and Farm Labor Contractor Employees (FLCEs) who
drive vehicles transporting migrant/seasonal agricultural workers to
maintain a copy of the doctor's certificate. 29 CFR 500.105(1)(H)-(I).
The WHD has created Forms WH-514, WH-514a, and WH-515, which allow
FLC applicants to verify to the WHD that the vehicles used to transport
migrant/seasonal agricultural workers meet the MSPA vehicle safety
standards and that anyone who drives such workers meets the Act's
minimum physical requirements. The WHD uses the information in deciding
whether to authorize the FLC/FLCE applicant to transport/drive any
migrant/seasonal agricultural workers or to cause such transportation.
Agency: Employment Standards Administration.
Type of Review: Extension without change of currently approved
collection.
Title: Medical Travel Refund Request.
OMB Number: 1215-0054.
Form Numbers: OWCP-957.
Frequency: On occasion.
Type of Response: Reporting.
Affected Public: Individuals and households.
Estimated Number of Respondents: 163,236.
Estimated Number of Annual Responses: 163,236.
Estimated Average Response Time: 10 minutes.
Estimated Total Annual Burden Hours: 27,097.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $68,559.
Description: The Office of Workers' Compensation Programs (OWCP) is
the agency responsible for administration of the Federal Employees'
Compensation Act (FECA), 5 U.S.C. 8101 et seq., the Black Lung Benefits
Act (BLBA), 30 U.S.C. 901 et seq., and the Energy Employees
Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42
U.S.C. 7384 et seq. All three of these statutes require that OWCP
reimburse beneficiaries for travel expenses for covered medical
treatment. In order to determine whether amounts requested as travel
expenses are appropriate, OWCP must receive certain data elements,
including the signature of the physician for medical expenses claimed
under the BLBA. Form OWCP-957 is the standard format for the collection
of these data elements. The regulations implementing these three
statutes allow for the collection of information needed to enable OWCP
to determine if reimbursement requests for travel expenses should be
paid. (20 CFR 10.315, 30.404, 725.406 and 725.701).
Form OWCP-957 is used by OWCP and contractor bill processing staff
to process reimbursement requests for travel expenses. To enable OWCP
and its contractor bill processing staff to consider the
appropriateness of the request in a timely fashion, it is essential
that request include all of the data elements needed to evaluate the
request. If all the data elements required by OWCP are not collected,
the contractor staff cannot process the request for reimbursement.
Agency: Employment Standards Administration.
Type of Review: Extension without change of currently approved
collection.
Title: Claim for Reimbursement of Benefit Payments and Claims
Expense Under the War Hazards Compensation Act.
OMB Number: 1215-0202.
Form Numbers: CA-278.
Frequency: On occasion.
Type of Response: Reporting.
Affected Public: Private Sector: Business or other for-profit.
Estimated Number of Respondents: 7.
Estimated Number of Annual Responses: 140.
Estimated Average Response Time: 30 minutes.
Estimated Total Annual Burden Hours: 70.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $239.
Description: The Office of Workers' Compensation Programs (OWCP) is
the federal agency responsible for administration of the War Hazards
Compensation Act (WHCA), 42 U.S.C. 1701 et seq. Under section 1704(a)
of the WHCA, an insurance carrier or self-insured who has paid workers'
compensation benefits to or on account of any person for a war-risk
hazard may seek reimbursement for benefits paid (plus expenses) out of
the Employees Compensation Fund for the Federal Employees' Compensation
Act (FECA) at 5 U.S.C. 8147.
Form CA 278 is used by insurance carriers and the self-insured to
request reimbursement. The regulations that implement the WHCA permit
OWCP to collect the information needed to consider an insurance
carrier's or self-insured's reimbursement request at 20 CFR 61.101 and
61.104.
The information collected is used by OWCP staff to process requests
for reimbursement of WHCA benefit payments and claims expenses
submitted by insurance carriers and self-insureds. The information is
also used by OWCP to decide whether it should opt to pay ongoing WHCA
benefits directly to the injured worker.
Agency: Employment Standards Administration.
Type of Review: Extension without change of currently approved
collection.
Title: Securing Financial Obligations Under the Longshore and
Harbor Workers' Compensation Act and its Extensions.
OMB Number: 1215-0204.
Form Numbers: LS-275-IC, LS-275-SI, and LS-276.
Frequency: On occasion and Annually.
Type of Response: Reporting.
Affected Public: Private Sector: Business or other for-profit and
Not-for-profit institutions.
Estimated Number of Respondents: 646.
Estimated Number of Annual Responses: 646.
Estimated Average Response Time: 1 hour for the Form LS-276 and 15
minutes for the Forms LS-275IC and LS-275SI.
Estimated Total Annual Burden Hours: 434.
Total Annualized capital/startup costs: $0.
Total Annual Costs (operating/maintaining systems or purchasing
services): $288.
Description: The Longshore and Harbor Workers' Compensation Act
requires covered employers to secure the payment of compensation under
the Act and its extensions by purchasing insurance from a carrier
authorized by the Secretary of Labor to write Longshore Act insurance,
or by becoming authorized self-insured employers (33 U.S.C. 932). Each
authorized insurance carrier (or carrier
[[Page 28524]]
seeking authorization) is required to establish annually that its
Longshore Act obligations are fully secured either through an
applicable state guaranty (or analogous) fund, a deposit of security
with the Division of Longshore and Harbor Workers' Compensation
(DLHWC), or a combination of both. Similarly, each authorized self-
insurer (or employer seeking authorization) is required to fully secure
its Longshore Act obligations by depositing security with DLHWC. These
requirements are designed to assure the prompt and continued payment of
compensation and other benefits by the responsible carrier or self-
insurer to injured workers and their survivors.
Forms collect information used for determining appropriate security
deposit amounts and insuring compliance with the security deposit
requirements are described below.
LS-276, Application for Security Deposit Determination. Each
currently authorized carrier and any carrier seeking such authorization
must apply annually for a determination of the amount of security it
must deposit with DLHWC by completing Form LS-276. DLHWC will use the
information collected on Form LS-276 to determine the required security
deposit amount for each carrier in light of the applicable state
guaranty fund coverage. Regulations establishing this requirement are
set forth at 20 CFR 703.2, 703.203, 703.209, 703.210, and 703.212.
LS-275 IC, Agreement and Undertaking (Insurance Carrier); LS-275
SI, Agreement and Undertaking (Self-Insured Employer). After DLHWC
determines the amount of the required security deposit, the insurance
carrier or self-insured employer executes Form LS-275 IC or LS-275 SI,
respectively, to: (1) Report the security it has deposited and grant
the Department a security interest in the collateral; (2) agree to
abide by the Department's rules; and (3) authorize the Department to
bring suit on any deposited indemnity bond, draw upon any deposited
letters of credit, or to collect the interest and principal or sell any
deposited negotiable securities when it deems it necessary to assure
the carrier's or self-insurer's prompt payment of compensation and any
other Longshore Act obligations it has. DLHWC reviews the information
collected and verifies that the carrier or self-insurer has deposited
the correct amount of security. DLHWC uses this information if it takes
action on the security deposited to assure that the carrier or self-
insurer meets its Longshore Act obligations. Regulations establishing
these requirements are set forth at 20 CFR 703.2, 703.204, 703.205,
703.303 and 703.304.
Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. E7-9694 Filed 5-18-07; 8:45 am]
BILLING CODE 4510-CF-P
