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