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 Department of Labor Office of Workers' Compensation Programs
 AGENCY: Office of Workers' Compensation Programs (OWCP), Labor.
 ACTION: Notice; Announcement of NEW OMB Control Numbers for OWCP.
 SUMMARY: Pursuant to the Department's reorganization plan effective November 8, 2009, the Department of Labor's (DOL's) former Employment Standards Administration (ESA) (OMB Account Number 1215) was dissolved and its functions were assigned among its four former sub-agencies, of which OWCP was one, by Secretary's Order 9-2009 (74 FR 58836). Thereafter, OMB assigned new Control Numbers for OWCP's collections of information formerly inventoried under the dissolved ESA account.
 DATES: This notice is effective upon publication in the 
                        **Federal Register**
                        .
 FOR FURTHER INFORMATION CONTACT: Vincent Alvarez, Agency Clearance Officer, Office of Workers' Compensation, U.S. Department of Labor, Room S-3524, 200 Constitution Avenue, NW., Washington, DC 20210, telephone: (202) 693-0372 (this is not a toll-free number) or e-mail: 
                        *OWCP-PUBLIC@dol.gov.*


SUPPLEMENTARY INFORMATION: In accordance with the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-3520), OMB has assigned new Control Numbers to the collections of information formerly inventoried under the OMB account 1215. The new OMB Control Numbers and current OMB-assigned expiration dates are listed below, along with any applicable regulatory citations and/or Agency form numbers. Previous OMB control No.
New OMB control No.
CFR citation
Agency form No.
Current expiration date1215-0022
1240-0043
20 CFR 702.234
LS-206
10/31/20111215-0023
1240-0042
20 CFR 702.251
LS-207
12/31/20111215-0024
1240-0041
20 CFR 702.236, 702.235
LS-208
01/31/20121215-0027
1240-0040
20 CFR 702.121
LS-265
02/28/20111215-0031
1240-0003
20 CFR 702.201, 702.202, 702.407
LS-202, LS-210
12/31/20101215-0034
1240-0039
20 CFR 726.110
OWCP-1
10/31/20111215-0052
1240-0038
20 CFR 725.304a, 725.404a
CM-911, CM-911A
09/30/20111215-0054
1240-0037
20 CFR 10.315, 30.404, 725.406 and 725.701
OWCP-957
08/31/20101215-0055
1240-0044
20 CFR 10.801, 30.701, 725.701, 725.704, 725.405
OWCP-1500
11/30/20121215-0056
1240-0035
20 CFR 718.204
CM-913
02/28/2011( print page 24745)1215-0057
1240-0034
20 CFR 725.405, 725.406, 725.407, 725.408
CM-936
11/30/20121215-0058
1240-0033
20 CFR 725.408, 725.412
CM-2970, CM2970A
12/31/20101215-0059
1240-0048
20 CFR 726.206, 726.208, 726.213
CM-921 (Extension request pending in OCIO)
04/30/20101215-0060
1240-0032
20 CFR 725.535
CM-905
09/30/20101215-0061
1240-0031
20 CFR 725.208
CM-981
05/31/20101215-0064
1240-0030
20 CFR 725.621
CM-908
06/30/20121215-0066
1240-0029
20 CFR 702.419
LS-1
05/31/20111215-0067
1240-0045
20 CFR 10.518, 10.519, 702.506, 702.507
OWCP-16
05/31/20111215-0069
1240-0027
20 CFR 410.221, CFR 725.304
CM-912
08/31/20101215-0073
1240-0026
20 CFR 702.121
LS-266
01/31/20111215-0078
1240-0049
20 CFR 10.700, 10.702, 702.132
CA-143
12/31/20121215-0084
1240-0028
20 CFR 725.513
CM-929, CM-929P
06/30/20111215-0085
1240-0036
20 CFR 702.317
LS-18
03/31/20111215-0090
1240-0023
20 CFR 718.102, 718.103, 718.104, 718.105
CM-933, CM-988, CM-2907, CM-1159, CM-933B
08/31/20111215-0103
1240-0046
20 CFR 10.102, 10.211, 10.300, 10.314, 10.331, 10.404, 10.506
CA-17, CA-16, CA-20, OWCP-5c, OWCP-5b, OWCP-5A, CA-1332, CA-1331, CA-7
09/30/20111215-0105
1240-0047
20 CFR 10.525
CA-1027
12/31/20121215-0112
1240-0025
33 USC 910
LS-426
06/30/20121215-0113
1240-0024
20 CFR 725.701, 725.706, 725.707
CM-893
10/31/20111215-0116
1240-0022
20 CFR 10.735
CA-721,  CA-722
08/31/20101215-0137
1240-0021
20 CFR 10.801, 30.701, 725.704, 725.705
OWCP-1168
11/30/20121215-0144
1240-0051
20 CFR 10.430-10.441, 725.544(c), 30.510-520
OWCP-20
11/30/20121215-0151
1240-0016
20 CFR 10.528
CA-1032
02/28/20111215-0154
1240-0015
20 CFR 10.126
CA-12
05/31/20111215-0155
1240-0013
20 CFR 10.7, 10.105, 10.410, 10.413, 10.417, 10.535, 10.537
CA-5, CA-5B, CA-1031, CA-1074
05/31/20101215-0160
1240-0014
20 CFR 702.111, 702.162, 702.174, 702.175, 702.201, 702.202, 702.221, 702.321, 702.242, 702.285, 703.310
LS-204, LS-267, LS-262, LS-271, LS-274, LS-203, LS-513, LS-200, LS-201
06/30/20121215-0161
1240-0012
5 USC § 8111(b) (FECA) and 33 USC § 908(g) (LHWCA)
OWCP-17
06/30/20121215-0166
1240-0010
20 CFR 725.505-513
CM-910
03/31/20121215-0167
1240-0009
20 CFR 10.104
CA-2a
05/31/20111215-0171
1240-0011
20 CFR 725.365, 725.366
CM-972
12/31/20101215-0173
1240-0020
20 CFR 725.510, 725.511, 725.512, 725.513
CM-623, CM623S, CM-787
09/30/20111215-0176
1240-0019
20 CFR 10.801, 30.701, 725.405, 725.406, 725.701, 725.704
OWCP-04
11/30/20121215-0178
1240-0018
5 U.S.C. 8104
CA-2231
06/30/20101215-0182
1240-0008
5 USC §§ 8104(a) and 8111(b) (FECA) and 33 USC §§ 908(g) and 939(c)
OWCP-44
07/31/20111215-0193
1240-0007
20 CFR 10.802, 30.702, 725.701, 725.705
OWCP-915
12/31/20121215-0194
1240-0050
20 CFR 10.801, 30.701, 725.701, 725.705
Instruction only (Pharmacy Billing Request )
12/31/20121215-0197
1240-0002
20 CFR 30.100, 30.101, 30.102, 30.103, 30.111, 30.113, 30.114, 30.206, 30.207, 30.212, 30.213, 30.214, 30.221, 30.222, 30.231, 30.415, 30.416, 30.417, 30.505, 30.620, 30.806
EE-1, EE-2, EE-3, EE-4, EE-7, EE-8, EE-9, EE-10, EE-20
08/31/20101215-0200
1240-0001
20 CFR 10.707, 10.710
CA-1108, CA-1122
06/30/20121215-0202
1240-0006
20 CFR 61.101, 61.104
CA-278
08/31/20101215-0204
1240-0005
20 CFR 703.203, 703.204, 703.205, 703.209, 702.210, 703.212, 703.303, 703.304
LS-275-IC, LS-275-SI, LS-276
09/30/20101215-0206
1240-0017
20 CFR 10.900
CA-40, CA-41, CA-42
06/31/20101215-0207
1240-0004
20 CFR 703.116
LS-570
12/31/2012
 The Department notes that notwithstanding any other provision of law, individuals are not required to respond to a collection of information or revision thereof unless approved by OMB under the PRA and it displays a currently valid OMB Control Number. 35 U.S.C. 3506(c)(1)(B)(iii)(V) and 5 CFR 1320.5(b).
                    ( print page 24746) Authority and Signature The authority for this notice is the Paperwork Reduction Act of 1995 (44 U.S.C. 3506 
                    *et seq.*) and Secretary of Labor's Order No. 9-2009 (74 FR 58836). Signed at Washington, DC, this 29th day of April, 2010. Vincent Alvarez, Agency Clearance Officer, Office of Workers' Compensation Programs, US Department of Labor.


[FR Doc. 2010-10493 Filed 5-4-10; 8:45 am] BILLING CODE 4510-CR-P