57962 Federal Register / Vol. 69, No. 187 / Tuesday, September 28, 2004 / Notices 

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: Employment and Training 

Administration. 

Type of Review: Revision of a 

currently approved collection. 

Title: Financial and Program 

Reporting and Performance Standards 

for Indian and Native American 

Programs Under Title I, Section 166 of 

the workforce Investment Act. 

OMB Number: 1205–0422. 

Frequency: Quarterly, Semi-annually 

and Annually. 

Affected Public: State, Local, or Tribal 

Government; Not-for-profit institutions.

Burden Summary:

Required section 166 activity (comprehensive services) DINAP 

Form # 

Number of 

respondents 

Responses 

per year 

Total responses Hours per 

response 

Total burden hrs 

Plan Narrative ................................................................................ ................ 145 1 145 12 1,740 

Recordkeeping ............................................................................... ................ 145 .................. 17,000 3 51,000 

Participant Report .......................................................................... ETA 9084 145 2 290 9.67 2,804 

Totals ...................................................................................... ................ 145 3 17,435 24.67 55,544 

Required section 166 activity (supplemental youth services) DINAP Form # Number of respondents Responses 

per year 

Total responses Hours per response Total burden 

hrs 

Plan Narrative ........................................ ........................ 105 1 105 6 630 

Recordkeeping ....................................... ........................ 105 ........................ 8,000 2 16,000 

Participant Report .................................. ETA 9085 105 2 210 9.67 2,031 

Totals .............................................. ........................ 105 3 8,315 17.67 18,661 

Required section 166 

activity (comprehensive 

services) (supplemental 

youth services) 

DINAP Form # Number of respondents 

Responses 

per year Total responses Hours per response Total burden hrs 

Financial Report ........... ETA 9080 CSP–145 

SYS–105 

4

4 

580

420 

9.67 

9.67 ....

5,608 

4,061 

Totals .................... ........................ 250 4 1,000 24.67 9,669 

Total Burden Hours: 83,874. 

Description: This is an extension of 

two currently-approved collections 

[1205–0422 and 1205–0423] of 

participant and financial information 

relating to the operation of employment 

and training programs for Indians and 

Native Americans under title I, section 

166 of the Workforce Investment Act 

(WIA). It also contains the basis of the 

current performance standards system 

for WIA section 166 grantees. The 

burden estimates for this collection 

include the Supplemental Youth 

Services Program and the 

Comprehensive Services Program 

authorized under section 166, as well as 

financial reporting requirements for 

both funds sources. Burden estimates do 

not include those tribes currently 

participating in the demonstration 

under Public Law 102–477.

Ira L. Mills, 

Departmental Clearance Officer.

[FR Doc. 04–21655 Filed 9–27–04; 8:45 am] 

BILLING CODE 4510–30–P

DEPARTMENT OF LABOR

Office of the Secretary 

Submission for OMB Review: 

Comment Request 

September 21, 2004. 

The Department of Labor (DOL) has 

submitted the following public 

information collection requests (ICRs) 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 Darrin King on (202) 693–4129 

(this is not a toll-free number) or 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, (202) 395–7316 (this is not a tollfree number), within 30 days from the 

date of this publication in the Federal 

Register. 

The OMB is particularly interested in 

comments which: 

Federal Register / Vol. 69, No. 187 / Tuesday, September 28, 2004 / Notices 57963

• 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 of 

currently approved collection. 

Title: Applications to Employ Special 

Industrial Homeworkers and Workers 

with Disabilities. 

OMB Number: 1215–0005. 

Frequency: On occasion; Semiannually; and Annually. 

Type of Response: Reporting. 

Affected Public: Business and other 

for-profit; Individuals or households; 

Not-for-profit institutions; Farms; and 

State, Local, or Tribal Government. 

Number of Respondents: 4,550.

Form Annual

responses 

Average

response

time

(hours) 

Annual

burden

hours 

WH–2 ........................................................................................................................................... 50 0.5 25 

WH–226 ....................................................................................................................................... 4,500 0.75 3,375 

WH–226A ..................................................................................................................................... 12,000 0.75 9,000 

Total ...................................................................................................................................... 16,550 ........................ 12,400 

Total Annualized Capital/Startup 

Costs: $0. 

Total Annual Costs (Operating/

Maintaining Systems or Purchasing 

Services): $1,820. 

Description: This collection of 

information is necessary to determine 

whether respondents will be authorized 

to pay sub-minimum wages to 

handicapped individuals and employ 

homeworkers in the restricted industries 

under the provisions of sections 11(d) 

and 14(c) of the Fair Labor Standards 

Act. 

Agency: Employment Standards 

Administration. 

Type of Review: Extension of 

currently approved collection. 

Title: Application for Approval of a 

Representative’s Fee in Black Lung 

Claim Proceedings Conducted by the 

U.S. Department of Labor. 

OMB Number: 1215–0171. 

Frequency: On occasion. 

Type of Response: Reporting. 

Affected Public: Business or other forprofit. 

Number of Respondents: 255. 

Annual Responses: 255. 

Average Response Time: 42 minutes. 

Annual Burden Hours: 179. 

Total Annualized Capital/Startup 

Costs: $0. 

Total Annual Costs (Operating/

Maintaining Systems or Purchasing 

Services): $102. 

Description: The purpose of the Form 

CM–972 is to collect pertinent data to 

determine if the a representative’s 

services and fees can be paid under the 

Black Lung Benefits Act (30 U.S.C. 901 

and 20 CFR 725.365 and 725.366).

Ira L. Mills, 

Departmental Clearance Officer.

[FR Doc. 04–21656 Filed 9–27–04; 8:45 am] 

BILLING CODE 4510–CK–P

DEPARTMENT OF LABOR

Office of the Secretary 

Submission for OMB Review; 

Comment Request 

September 21, 2004. 

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: Employment and Training 

Administration. 

Type of Review: Revision of a 

currently approved collection. 

Title: Resource Justification Model. 

OMB Number: 1205–0430. 

Frequency: Annually. 

Affected Public: State, local, or tribal 

government; Federal Government.

Cite/reference Total respondents Frequency Total responses 

Average time per 

response (hours) Burden (hours) 

Crosswalk ............................................................................. 53 Annually 53 120 6,360