62302 Federal Register / Vol. 69, No. 205 / Monday, October 25, 2004 / Notices 

Affected Public: Business or other forprofit; Not-for-profit institution. 

Total Respondents: 17,500. 

Total Annual responses: 17,500.

Form Number of

respondents 

Annual

responses 

Per response

(in minutes) 

Total burden

hours 

CM–933 ........................................................................................................... 3,500 3,500 5 292 

CM–933b ......................................................................................................... 3,500 3,500 3 175 

CM–988 ........................................................................................................... 3,500 3,500 30 1,750

CM–1159 ......................................................................................................... 3,500 3,500 15 875 

CM–2907 ......................................................................................................... 3,500 3,500 20 1,167 

Totals ........................................................................................................ 17,500 17,500 4,259

Estimated Total Burden Hours: 4,259. 

Frequency: On occasion. 

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: October 19, 2004. 

Bruce Bohanon, 

Chief, Branch of Management Review and 

Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration.

[FR Doc. 04–23802 Filed 10–22–04; 8:45 am] 

BILLING CODE 4510–CK–P

DEPARTMENT OF LABOR

Employment Standards Administration 

Proposed 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 

Employment Standards Administration 

is soliciting comments concerning the 

proposed collection: Certification of 

Funeral Expenses (LS–265). 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 

December 27, 2004.

ADDRESSES: Ms. Hazel M. Bell, U.S. 

Department of Labor, 200 Constitution 

Ave., NW., Room S–3201, Washington, 

DC 20210, telephone (202) 693–0418, 

fax (202) 693–1451, e-mail 

bell.hazel@dol.gov. Please use only one 

method of transmission for comments 

(mail, fax, or e-mail).

SUPPLEMENTARY INFORMATION: 

I. Background 

The Office of Workers’ Compensation 

Programs administers the Longshore 

and Harbor Workers’ Compensation Act. 

The Act provides benefits to workers 

injured in maritime employment on the 

navigable waters of the United States or 

in an adjoining area customarily used by 

an employer in loading, unloading, 

repairing, or building a vessel. The Act 

provides that reasonable funeral 

expenses not to exceed $3,000 shall be 

paid in all compensable death cases. 

The LS–265 has been provided for use 

in submitting the funeral expenses for 

payment. This information collection is 

currently approved for use through 

April 30, 2005. 

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 of the extension of this 

information collection in order to carry 

out its responsibility to certify the 

amount of funeral expenses incurred in 

the case. 

Type of Review: Extension. 

Agency: Employment Standards 

Administration. 

Title: Certification of Funeral 

Expenses. 

OMB Number: 1215–0027. 

Agency Number: LS–265. 

Affected Public: Business or other forprofit. 

Total Respondents: 195. 

Total Annual Responses: 195. 

Estimated Total Burden Hours: 49. 

Time Per Response: 15 minutes. 

Frequency: On occasion. 

Total Burden Cost (capital/startup):

$0. 

Total Burden Cost (operating/

maintenance): $78.00. 

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: October 19, 2004. 

Bruce Bohanon, 

Chief, Branch of Management Review and 

Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration.

[FR Doc. 04–23803 Filed 10–22–04; 8:45 am] 

BILLING CODE 4310–CF–P