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[Federal Register Volume 66, Number 38 (Monday, February 26, 2001)]
[Notices]
[Pages 11602-11603]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-4644]

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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, 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 the following 
information collections: (1) Medical Travel Refund Request (CM-957); 
and (2) Employment Information Form (WH-3 and WH-3(Spanish)). Copies of 
the proposed information collection requests can be obtained by

[[Page 11603]]

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 27, 2001.

ADDRESSEES: Ms. Patricia A. Forkel, U.S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0339 (this is not a toll-free number), fax (202) 693-1451.

SUPPLEMENTARY INFORMATION:

Medical Travel Refund Request (CM-957)

I. Background

    The Office of Workers' Compensation Programs (OWCP) administers the 
Federal Black Lung Benefits Act (FBLBA). When a coal miner files an 
application for black lung benefits under the Act, the miner is 
scheduled for medical determination testing. The Black Lung Trust Fund 
is required to pay for this determination testing and associated travel 
costs. The CM-957 is used by the miner to record travel expenses 
incurred while traveling to and from the testing facility.

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 for this 
information collection in order to identify and reimburse miners for 
out-of-pocket medical travel expenses associated with black lung 
related medical testing.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Medical Travel Refund Request.
    OMB Number: 1215-0054.
    Affected Public: Individuals or households; Businesses or other 
for-profit institutions; Not-for-profit institutions.
    Total Respondents: 6,000.
    Frequency: On occasion.
    Total Responses: 6,000.
    Average Time per Response: 10 minutes.
    Estimated Total Burden Hours: 1,000.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $2,890.

Employment Information Form (WH-3 and WH-3(Spanish))

I. Background

    Section 11(a) of the Fair Labor Standards Act, 29 USC 201 et. seq., 
provides that the Secretary of Labor may investigate and gather data 
regarding the wages, hours, and other conditions and practices of 
employment in any industry subject to the Act. Similar provisions are 
also contained in the Public Contracts Act, The Service Contracts Act, 
the Davis-Bacon Act, the Consumer Credit Protection Act, the Migrant 
and Seasonal Agricultural Workers' Protection Act, and the Family and 
Medical Leave Act, all of which are enforced by the Wage and Hour 
Division of the U.S. Department of Labor. The Form WH-3 is an optional 
form used by complainants and others to provide information about 
alleged violations of the labor standards provisions of the Acts cited 
above. The form is provided in both English and Spanish versions.

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 of this 
information collection in order to carry out its responsibility to meet 
the statutory requirements to investigate alleged violations of the 
various labor standards laws enforced by the Wage and Hour Division.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Employment Information Form.
    OMB Number: 1215-0001.
    Agency Number: WH-3 and WH-3 (Spanish).
    Affected Public: Individuals or households; Farms, Businesses or 
other for-profit; Not-for-profit institutions; Federal government; 
State, local or Tribal government.
    Total Respondents: 39,000.
    Frequency: On occasion.
    Total Responses: 39,000.
    Average Time per Response: 20 minutes.
    Estimated Total Burden Hours: 13,000.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $0.
    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 16, 2001.
Margaret J. Sherrill,
Chief, Branch of Management Review and Internal Control, Division of 
Financial Management, Office of Management, Administration and 
Planning, Employment Standards Administration.
[FR Doc. 01-4644 Filed 2-23-01; 8:45 am]
BILLING CODE 4510-27-P
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