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###### Department of Labor

###### Employment Standards Administration 

# ACTION:

Notice. 

      ( print page 6341)    

# 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: Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721) and Notice of Law Enforcement Officer's Death (CA-722). 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 April 12, 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 (OWCP) administers the Federal Employees' Compensation Act (FECA). The Act provides that non-Federal law enforcement officers and/or their survivors injured or killed under certain circumstances are entitled to benefits of the Act to the same extent asemployees in the Federal government. The Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721) and the Notice of Law Enforcement Officer's Death (CA-722) are the forms used by non-Federal law enforcement officers and their survivors to claim compensation under FECA. This information collection is currently approved for use through August 31, 2004. 

## 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 extension of approval to collect this information to determine eligibility for benefits. 

*Type of Review:*                     Extension.                 

*Agency:*                     Employment Standards Administration.                 

*Title:*                     Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721), Notice of Law Enforcement Officer's Death (CA-722).                 

*OMB Number:*                     1215-0116.                 

*Agency Number:*                     CA-721 and CA-722.                 

*Affected Public:*                     Individuals or Households; Business or other for-profit; State, Local or Tribal Government.                 

*Total Respondents:*                     23.                 

*Total Annual Responses:*                     23.                 

*Average Time per Response:*                     60 minutes.                 

*Estimated Total Burden Hours:*                     31.                 

*Frequency:*                     On occasion.                 

*Total Burden Cost (capital/startup):*                     $0.                 

*Total Burden Cost (operating/maintenance):*                     $220.00.                 

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: February 4, 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. 04-2828 Filed 2-9-04; 8:45 am] 

BILLING CODE 4510-30-P