[Federal Register Volume 61, Number 125 (Thursday, June 27, 1996)]
[Notices]
[Pages 33540-33541]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-16458]


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DEPARTMENT OF LABOR
Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden,

[[Page 33541]]

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 extension collection of 
Form LS-1, Request For Examination and/or Treatment.
    A copy of the proposed information collection request can be 
obtained by contacting the office listed below in the addressee section 
of this notice.

DATES: Written comments must be submitted to the office listed in the 
addressee section below on or before September 4, 1996. The Department 
of Labor is particularly interested in comments which:
    <bullet> 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;
    <bullet> 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;
    <bullet> Enhance the quality, utility and clarity of the 
information to be collected; and
    <bullet> 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.

ADDRESSES: Mr. Rich Elman, U.S. Department of Labor, 200 Constitution 
Ave., N.W., Room S-3201, Washington, D.C. 20210, telephone (202) 219-
6375 (this is not a toll-free number), fax 202-219-6592.

SUPPLEMENTARY INFORMATION:

I. Background

    The Longshore and Harbor Workers' Compensation Act provides 
benefits to workers injured in maritime employment area customarily 
used by an employee in loading, unloading, repairing or building a 
vessel. Under Section 702.419 of the Act the employer/insurance carrier 
is responsible for furnishing medical care for the injured employee for 
such period of time as the injury or recovery period may require. Form 
LS-1 serves two purposes: it authorizes the medical care and provides a 
vehicle for the treating physician to report the findings, treatment 
given, and anticipated physical condition of the employee.

II. Current Actions

    The Department of Labor seeks extension approval to collect this 
information to carry out its responsibility to verify that proper 
medical treatment has been authorized and to determine the severity of 
a claimant's injuries and entitlement to compensation benefits which an 
employer is responsible by law to provide if a claimant is medically 
unable to work as a result of a work-related injury. If the information 
were not collected, verification of authorized medical care and 
entitlement to compensation benefits would not be possible.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Request For Examination and/or Treatment, LS-1.
    OMB Number: 1215-0066.
    Affected Public: Individuals or households.
    Total Respondents: 16,500.
    Frequency: On occasion.
    Total Responses: 132,000 (average of 8 per respondent).
    Average Time Per Response for Reporting: 1 hour.
    Estimated Total Burden Hours: 142,560.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $46,000.
    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: June 21, 1996.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management, 
Administration and Planning, Employment Standards Administration.
[FR Doc. 96-16458 Filed 6-26-96; 8:45 am]
BILLING CODE 4510-27-M