Agency Information Collection Activities; Proposals, Submissions, and Approvals, 47629-47630 [2010-19398]
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Federal Register / Vol. 75, No. 151 / Friday, August 6, 2010 / Notices
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 selfinsured 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 Employment
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 selfinsured to request reimbursement. The
information collected is used by OWCP
staff to process requests for
reimbursement of WHCA benefit
payments and claims expense that are
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.
For additional information, see
related notice published in the Federal
Register on March 15, 2010 (Vol. 75
page 12271).
August 2, 2010.
Linda Watts Thomas,
Acting Departmental Clearance Officer.
[FR Doc. 2010–19400 Filed 8–5–10; 8:45 am]
BILLING CODE 4510–CH–P
DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review;
Comment Request
sroberts on DSKD5P82C1PROD with NOTICES
August 3, 2010.
The Department of Labor (DOL)
hereby announces the submission of 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 this ICR, with applicable
supporting documentation; including,
among other things, a description of the
likely respondents, proposed frequency
of response, and estimated total burden
may be obtained from the RegInfo.gov
Web site at https://www.reginfo.gov/
public/do/PRAMain or by contacting
Linda Watts Thomas on 202–693–4223
(this is not a toll-free number) and email to: DOL_PRA_PUBLIC@dol.gov.
Interested parties are encouraged to
send comments to the Office of
Information and Regulatory Affairs,
Attn: OMB Desk Officer for the
Department of Labor—Office of
VerDate Mar<15>2010
16:35 Aug 05, 2010
Jkt 220001
Workers’ Compensation Programs
(OWCP), Room 10235, Washington, DC
20503, Telephone: 202–395–7316/Fax
202–395–5806 (these are not toll-free
numbers), e-mail:
OIRA_submission@omb.eop.gov within
30 days from the date of this publication
in the Federal Register. In order to
ensure the appropriate consideration,
comments should reference the
applicable OMB Control Number (see
below).
The OMB is particularly interested in
comments which:
(1) 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;
(2) 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;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and
(4) 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: Office of Workers’
Compensation Programs.
Type of Review: Revision of a
currently approved collection.
Title of Collection: Request for
Earnings Information.
OMB Control Number: 1240–0005.
Agency Form Number: LS–276, LS–
275–IC and LS–275–SI.
Affected Public: Business or other forprofit, Not-for-profit institution.
Cost to Federal Government:
$14,992.52.
Total Estimated Number of
Respondents: 572.
Total Estimated Number of
Responses: 651.
Total Burden Hours: 436.5.
Total Hour Burden Cost (operating/
maintaining): $169.52.
Description: The Longshore and
Harbor Workers’ Compensation Act
(LHWCA) 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 et seq). Each
authorized insurance carrier (or carrier
seeking authorization) is required to
PO 00000
Frm 00107
Fmt 4703
Sfmt 4703
47629
establish annually that its Longshore
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 LS–276,
Application for Security Deposit
Determination; LS–275–IC, Agreement
and Undertaking (Insurance Carrier);
and LS–275–SI, Agreement and
Undertaking (Self-insured Employer) are
used to cover the submission of
information by insurance carriers and
self-insured employers regarding their
ability to meet their financial
obligations under the Longshore Act
and its extensions. For additional
information, see related notice
published in the Federal Register on
April 13, 2010 (Vol. 75 page 18887).
Dated: August 3, 2010.
Linda Watts Thomas,
Acting Departmental Clearance Officer.
[FR Doc. 2010–19406 Filed 8–5–10; 8:45 am]
BILLING CODE 4510–CF–P
DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection
Activities; Proposals, Submissions,
and Approvals
August 2, 2010.
Submission for OMB Review;
Comment Request.
ACTION:
The Department of Labor (DOL)
hereby announces the submission of 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 this ICR, with applicable
supporting documentation; including,
among other things, a description of the
likely respondents, proposed frequency
of response, and estimated total burden
may be obtained from the RegInfo.gov
Web site at https://www.reginfo.gov/
public/do/PRAMain or by contacting
Linda Watts Thomas on 202–693–4223
(this is not a toll-free number)/and e-
E:\FR\FM\06AUN1.SGM
06AUN1
sroberts on DSKD5P82C1PROD with NOTICES
47630
Federal Register / Vol. 75, No. 151 / Friday, August 6, 2010 / Notices
mail mail to: DOL_PRA_
PUBLIC@dol.gov.
Interested parties are encouraged to
send comments to the Office of
Information and Regulatory Affairs,
Attn: OMB Desk Officer for the
Department of Labor—Office of
Workers’ Compensation Programs
(OWCP), Room 10235, Washington, DC
20503, Telephone: 202–395–7316/Fax
202–395–5806 (these are not toll-free
numbers), e-mail: OIRA_submission@
omb.eop.gov within 30 days from the
date of this publication in the Federal
Register. In order to ensure the
appropriate consideration, comments
should reference the applicable OMB
Control Number (see below).
The OMB is particularly interested in
comments which:
(1) 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;
(2) 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;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and
(4) 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: Office of Workers’
Compensation Programs.
Type of Review: Revision of a
currently approved collection.
Title of Collection: Medical Travel
Refund Request.
OMB Control Number: 1240–0037.
Agency Form Number: CM–957.
Affected Public: Individuals or
Households.
Cost to Federal Government:
$971,231.
Total Estimated Number of
Respondents: 182,535.
Total Estimated Number of
Responses: 182,535.
Total Burden Hours: 30,301.
Total Hour Burden Cost (operating/
maintaining): $85,791.
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
VerDate Mar<15>2010
16:35 Aug 05, 2010
Jkt 220001
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.
For additional information, see
related notice published in the Federal
Register on February 18, 2010 (Vol. 75
page 7292).
Dated: July 26, 2010.
Linda Watts Thomas,
Acting Departmental Clearance Officer.
[FR Doc. 2010–19398 Filed 8–5–10; 8:45 am]
BILLING CODE 4510–CR–P
DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review;
Comment Request
August 2, 2010.
The Department of Labor (DOL)
hereby announces the submission of 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 this ICR, with applicable
supporting documentation; including,
among other things, a description of the
likely respondents, proposed frequency
of response, and estimated total burden
may be obtained from the RegInfo.gov
Web site at https://www.reginfo.gov/
public/do/PRAMain or by contacting
Linda Watts Thomas on 202–693–4223
(this is not a toll-free number) e-mail
mail to: DOL_PRA_PUBLIC@dol.gov.
Interested parties are encouraged to
send comments to the Office of
Information and Regulatory Affairs,
Attn: OMB Desk Officer for the
Department of Labor—Office of
Workers’ Compensation Programs
(OWCP), Room 10235, Washington, DC
20503, Telephone: 202–395–7316/Fax
202–395–5806 (these are not toll-free
numbers), e-mail:
OIRA_submission@omb.eop.gov within
30 days from the date of this publication
PO 00000
Frm 00108
Fmt 4703
Sfmt 4703
in the Federal Register. In order to
ensure the appropriate consideration,
comments should reference the
applicable OMB Control Number (see
below).
The OMB is particularly interested in
comments which:
(1) 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;
(2) 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;
(3) Enhance the quality, utility, and
clarity of the information to be
collected; and
(4) 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: Office of Workers’
Compensation Programs.
Type of Review: Revision of a
currently approved collection.
Title of Collection: Energy Employees
Occupational Illness Compensation Act
Forms (various).
OMB Control Number: 1240–0002.
Form Numbers: EE–1, EE–2, EE–3,
EE–4, EE–7, EE–8, EE–9, EE–10, EE–
11A, EE–11B, EE–12, EE–13, EE–16 and
EE–20.
Estimated Number of Respondents:
57,175.
Estimated Total Annual Burden
Hours: 21,729.
Estimated Total Hour Burden Cost
(operating/maintaining): $22,781.37.
Affected Public: Individuals or
households; Business or other for-profit.
Description: The Office of Workers’
Compensation Programs (OWCP) is the
primary agency responsible for the
administration of the Energy Employees
Occupational Illness Compensation
Program Act of 2000, as amended
(EEOICPA or Act), 42 U.S.C. 7384 et seq.
The Act provides for timely payment of
compensation to covered employees
and, where applicable, survivors of such
employees, who sustained either
‘‘occupational illnesses’’ or ‘‘covered
illnesses’’ incurred in the performance
of duty for the Department of Energy
and certain of its contractors and
subcontractors. The Act sets forth
eligibility criteria for claimants for
compensation under Part B and Part E
of the Act, and outlines the various
E:\FR\FM\06AUN1.SGM
06AUN1
]]>Agencies
[Federal Register Volume 75, Number 151 (Friday, August 6, 2010)]
[Notices]
[Pages 47629-47630]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-19398]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection Activities; Proposals, Submissions,
and Approvals
August 2, 2010.
ACTION: Submission for OMB Review; Comment Request.
-----------------------------------------------------------------------
The Department of Labor (DOL) hereby announces the submission of
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 this ICR, with applicable supporting
documentation; including, among other things, a description of the
likely respondents, proposed frequency of response, and estimated total
burden may be obtained from the RegInfo.gov Web site at https://www.reginfo.gov/public/do/PRAMain or by contacting Linda Watts Thomas
on 202-693-4223 (this is not a toll-free number)/and e-
[[Page 47630]]
mail mail to: DOL_PRA_PUBLIC@dol.gov.
Interested parties are encouraged to send comments to the Office of
Information and Regulatory Affairs, Attn: OMB Desk Officer for the
Department of Labor--Office of Workers' Compensation Programs (OWCP),
Room 10235, Washington, DC 20503, Telephone: 202-395-7316/Fax 202-395-
5806 (these are not toll-free numbers), e-mail: OIRA_submission@omb.eop.gov within 30 days from the date of this publication
in the Federal Register. In order to ensure the appropriate
consideration, comments should reference the applicable OMB Control
Number (see below).
The OMB is particularly interested in comments which:
(1) 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;
(2) 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;
(3) Enhance the quality, utility, and clarity of the information to
be collected; and
(4) 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: Office of Workers' Compensation Programs.
Type of Review: Revision of a currently approved collection.
Title of Collection: Medical Travel Refund Request.
OMB Control Number: 1240-0037.
Agency Form Number: CM-957.
Affected Public: Individuals or Households.
Cost to Federal Government: $971,231.
Total Estimated Number of Respondents: 182,535.
Total Estimated Number of Responses: 182,535.
Total Burden Hours: 30,301.
Total Hour Burden Cost (operating/maintaining): $85,791.
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.
For additional information, see related notice published in the
Federal Register on February 18, 2010 (Vol. 75 page 7292).
Dated: July 26, 2010.
Linda Watts Thomas,
Acting Departmental Clearance Officer.
[FR Doc. 2010-19398 Filed 8-5-10; 8:45 am]
BILLING CODE 4510-CR-P
