Federal Register / Vol. 72, No. 11 / Thursday, January 18, 2007 / Notices 2309 

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 ensure that a 

carrier’s LHWCA obligations are 

sufficiently secured and, if necessary, to 

deposit security in an amount set by 

OWCP. This procedure will ensure the 

prompt and continued payments of 

compensation and medical benefits to 

injured workers and help protect the 

Longshore special funds assets from 

consequences flowing from insurance 

carriers’ insolvencies. 

Type of Review: Extension. 

Agency: Employment Standards 

Administration. 

Titles: Request for Earnings 

Information. 

OMB Number: 1215–0204. 

Agency Numbers: LS–276; LS–275–IC 

and LS–275–SI. 

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

Total Respondents: 566. 

Total Annual responses: 647. 

Estimated Total Burden Hours: 434. 

Estimated Time Per Response: 1 hour 

to 15 minutes. 

Frequency: On Occasion and 

Annually. 

Total Burden Cost (capital/startup): 

$0. 

Total Burden Cost (operating/ 

maintenance): $287.89. 

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: January 11, 2007. 

Hazel M. Bell, 

Acting Chief, Branch of Management Review 

and Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration. 

[FR Doc. E7–559 Filed 1–17–07; 8:45 am] 

BILLING CODE 4510–CF–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: Medical Travel 

Refund Request (OWCP–957). 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 

March 19, 2007. 

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), 5 U.S.C. 8101 et seq., the Black 

Lung Benefits Act (BLBA), 30 U.S.C. 901 

et seq., and the Energy Employees 

Occupational Illness Compensation 

Program Act of 2000 (EEOICPA), 42 

U.S.C. 7384 et seq. All three of these 

statutes require that OWCP reimburse 

beneficiaries for travel expenses 

incurred for covered medical treatment. 

In order to determine whether amounts 

requested as travel expenses are 

appropriate, OWCP must receive certain 

data elements, including the signature 

of the physician for expenses claimed 

under the BLBA. Form OWCP–957 is 

the standard format for the collection of 

these data elements. The OWCP–957 is 

used by OWCP and its contractor bill 

processing staff to process 

reimbursement requests for travel 

expenses. This information collection is 

currently approved for use through June 

30, 2007. 

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 

approval for the extension of this 

information collection in order to carry 

out its responsibility to determine if 

requests for reimbursement for out-ofpocket expenses incurred when 

traveling to medical providers for 

covered medical testing or treatment 

should be paid. 

Type of Review: Extension. 

Agency: Employment Standards 

Administration. 

Title: Medical Travel Refund Request. 

OMB Number: 1215–0054. 

Agency Number: OWCP–957. 

Affected Public: Individual or 

households. 

Total Respondents: 163,236. 

Total Responses: 163,236. 

Time per Response: 10 minutes. 

Frequency: On occasion. 

Estimated Total Burden Hours: 

27,098. 

Total Burden Cost (capital/startup): 

$0. 

Total Burden Cost (operating/ 

maintenance): $68,559. 

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: January 11, 2007. 

Hazel M. Bell, 

Acting Chief, Branch of Management Review 

and Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration. 

[FR Doc. E7–560 Filed 1–17–07; 8:45 am] 

BILLING CODE 4510–CR–P 


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