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###### Department of Labor

###### Office of the Secretary 

                    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 this 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 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 Standards Administration.                 

*Type of Review:*                     Extension of currently approved collection.                 

*Title:*                     Payment of Compensation Without Award.                 

*OMB Number:*                     1215-0022.                 

*Form Number:*                     LS-206.                 

*Frequency:*                     On occasion.                 

*Type of Response:*                     Reporting.                 

*Affected Public:*                     Business or other for-profit.                 

*Number of Respondents:*                     700.                 

*Estimated Annual Responses:*                     24,500.                 

*Average Response Time:*                     15 minutes.                 

*Total Annual Burden Hours:*                     6,125.                 

*Total Annualized capital/startup costs:*                     $0.                 

*Total Annual Costs (operating/maintaining systems or purchasing services):*                     $10,903.                 

*Description:*                     The Office of Workers' Compensation Programs (OWCP) 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. Under Sections 914(b) and (c) of the Longshore Act, a self-insured employer or insurance carrier is required to pay compensation within 14 days after the employer has knowledge of the injury or death. Upon making the first payment, the employer or carrier shall immediately notify the district director of payment. Form LS-206 has been designated as the proper form on which report of first payment is to be made. The LS-206 is also used by OWCP district offices to determine the payment status of a given case.                 

Ira L. Mills, 

Departmental Clearance Officer. 

[FR Doc. 05-19014 Filed 9-22-05; 8:45 am] 

BILLING CODE 4510-CF-P