Proposed Extension of Existing Collection; Comment Request, 51829 [2012-20961]

Download as PDF Federal Register / Vol. 77, No. 166 / Monday, August 27, 2012 / Notices • 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 currently approved information collection in order to carry out its responsibility to provide payment for certain covered medical services to eligible employees who are covered under FECA, BLBA or EEOICPA. Type of Review: Extension. Agency: Office of Workers’ Compensation Programs. Title: Health Insurance Claim Form. OMB Number: 1240–0044. Agency Number: OWCP–1500. Affected Public: Individuals or households, businesses or other forprofit. Total Respondents: 71,304. Total Responses: 3,036,067. Time per Response: 1—7 minutes. Estimated Total Burden Hours: 322,838. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/ maintenance): $0. 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: August 21, 2012. Yoon Ferguson, Agency Clearance Officer, Office of Workers’ Compensation Programs, U.S. Department of Labor. [FR Doc. 2012–20957 Filed 8–24–12; 8:45 am] pmangrum on DSK3VPTVN1PROD with NOTICES BILLING CODE 4510–CR–P DEPARTMENT OF LABOR Office of Workers’ Compensation Programs Proposed Extension of Existing Collection; Comment Request ACTION: Notice. VerDate Mar<15>2010 15:04 Aug 24, 2012 Jkt 226001 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 Office of Workers’ Compensation Programs is soliciting comments concerning its proposal to extend OMB approval of the information collection: Representative Fee Request (CA–143/CA–155). A copy of the proposed information collection request can be obtained by contacting the office listed below in the addresses section of this Notice. SUMMARY: Written comments must be submitted to the office listed in the addresses section below on or before October 26, 2012. DATES: Ms Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave. NW., Room S–3201, Washington, DC 20210, telephone (202) 693–0701, fax (202) 693–2447, Email ferguson.yoon@dol.gov. Please use only one method of transmission for comments (mail, fax, or Email). ADDRESSES: SUPPLEMENTARY INFORMATION: I. Background: Individuals filing for compensation benefits with the Office of Workers’ Compensation Programs (OWCP) may be represented by an attorney or other representative. The representative is entitled to request a fee for services under the Federal Employees’ Compensation Act (FECA) and under the Longshore and Harbor Workers’ Compensation Act (LHWCA). The fee must be approved by the OWCP before any demand for payment can be made by the representative. This information collection request sets forth the criteria for the information, which must be presented by the respondent in order to have the fee approved by the OWCP. The information collection does not have a particular form or format; the respondent must present the information in any format which is convenient and which meets all the required information criteria. This information collection is currently approved for use through December 31, 2012. PO 00000 Frm 00082 Fmt 4703 Sfmt 9990 51829 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 for the extension of this currently approved information collection in order to carry out its responsibility to approve representative fees under the two Acts. Type of Review: Extension. Agency: Office of Workers’ Compensation Programs. Title: Representative Fee Request OMB Number: 1240–0049. Agency Number: CA–143/CA–155. Affected Public: Business or other forprofit, Individuals or households. Total Respondents: 12,363. Total Annual Responses: 12,363. Average Time per Response: 30 minutes. Estimated Total Burden Hours: 6,182. Frequency: On occasion. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/ maintenance): $15,696. 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: August 21, 2012. Yoon Ferguson, Agency Clearance Officer, Office of Workers’ Compensation Programs, U.S. Department of Labor. [FR Doc. 2012–20961 Filed 8–24–12; 8:45 am] BILLING CODE 4510–CH–P E:\FR\FM\27AUN1.SGM 27AUN1

Agencies

[Federal Register Volume 77, Number 166 (Monday, August 27, 2012)]
[Notices]
[Page 51829]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-20961]


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

DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Proposed Extension of Existing 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 Office of Workers' Compensation Programs is soliciting 
comments concerning its proposal to extend OMB approval of the 
information collection: Representative Fee Request (CA-143/CA-155). 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 October 26, 2012.

ADDRESSES: Ms Yoon Ferguson, U.S. Department of Labor, 200 Constitution 
Ave. NW., Room S-3201, Washington, DC 20210, telephone (202) 693-0701, 
fax (202) 693-2447, Email ferguson.yoon@dol.gov. Please use only one 
method of transmission for comments (mail, fax, or Email).

SUPPLEMENTARY INFORMATION:
    I. Background: Individuals filing for compensation benefits with 
the Office of Workers' Compensation Programs (OWCP) may be represented 
by an attorney or other representative. The representative is entitled 
to request a fee for services under the Federal Employees' Compensation 
Act (FECA) and under the Longshore and Harbor Workers' Compensation Act 
(LHWCA). The fee must be approved by the OWCP before any demand for 
payment can be made by the representative. This information collection 
request sets forth the criteria for the information, which must be 
presented by the respondent in order to have the fee approved by the 
OWCP. The information collection does not have a particular form or 
format; the respondent must present the information in any format which 
is convenient and which meets all the required information criteria. 
This information collection is currently approved for use through 
December 31, 2012.
    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 
for the extension of this currently approved information collection in 
order to carry out its responsibility to approve representative fees 
under the two Acts.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Representative Fee Request
    OMB Number: 1240-0049.
    Agency Number: CA-143/CA-155.
    Affected Public: Business or other for-profit, Individuals or 
households.
    Total Respondents: 12,363.
    Total Annual Responses: 12,363.
    Average Time per Response: 30 minutes.
    Estimated Total Burden Hours: 6,182.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $15,696.
    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: August 21, 2012.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2012-20961 Filed 8-24-12; 8:45 am]
BILLING CODE 4510-CH-P