[Federal Register Volume 72, Number 114 (Thursday, June 14, 2007)]
[Notices]
[Pages 32866-32868]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-11491]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

 June 7, 2007.
    The Department of Labor (DOL) has submitted the following public 
information collection requests (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 
each ICR, with applicable supporting documentation, may be obtained 
from RegInfo.gov at http://www.reginfo.gov/public/do/PRAMain or by 
contacting Darrin King on 202-693-4129 (this is not a toll-free 
number)/e-mail: [email protected].
    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, Telephone: 202-395-7316/Fax: 202-395-6974 (these 
are not toll-free numbers), 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 without change of currently approved 
collection.
    Title: Survivor's Form for Benefits.
    OMB Number: 1215-0069.
    Form Number: CM-912.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Individuals or households.

[[Page 32867]]

    Estimated Number of Respondents: 2,000.
    Estimated Number of Annual Responses: 2,000.
    Estimated Average Response Time: 8 minutes.
    Estimated Total Annual Burden Hours: 267.
    Total Estimated Annualized capital/startup costs: $0.
    Total Estimated Annual Costs (operating/maintaining systems or 
purchasing services): $704.
    Description: The CM-912 is used to gather information from a 
beneficiary's survivor to determine if the survivor is entitled to 
benefits or the continuation of benefits.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of currently approved 
collection.
    Title: Notice of Law Enforcement Officer's Injury or Occupational 
Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722).
    OMB Number: 1215-0116.
    Form Numbers: CA-721 and CA-722.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: State, Local, or Tribal Government.
    Estimated Number of Respondents: 30.
    Estimated Number of Annual Responses: 30.
    Estimated Average Response Time: 60 minutes for the Form CA-721 and 
90 minutes for the CA-722.
    Estimated Total Annual Burden Hours: 40.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The CA-721 and CA-722 are used for filing claims for 
compensation for injury and death to non-Federal law enforcement 
officers under the provisions of 5 U.S.C. 8191 et seq. The forms 
provide the basic information needed to process the claims made for 
injury or death.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of currently approved 
collection.
    Title: 29 CFR, Part 575--Waiver of Child Labor Provisions for 
Agricultural Employment of 10 and 11 Year Old Minors in Hand Harvesting 
of Short Season Crops.
    OMB Number: 1215-0120.
    Form Number: None.
    Frequency: On occasion.
    Type of Response: Reporting and Recordkeeping.
    Affected Public: Farms.
    Estimated Number of Respondents: 1.
    Estimated Number of Annual Responses: 1.
    Estimated Average Response Time: 4 hours.
    Estimated Total Annual Burden Hours: 4.
    Total Estimated Annualized capital/startup costs: $0.
    Total Estimated Annual Costs (operating/maintaining systems or 
purchasing services): $0.
    Description: Regulations 29 CFR part 575, in relevant part, sets 
forth the describes the information an employer or group of employers 
must submit when applying for a waiver of the youth employment 
provisions under FLSA section 13(c)(4). See 29 CFR 575.3-5. Regulations 
29 CFR 575.8 specifies certain records employers must maintain.

    Agency: Employment Standards Administration.
    Type of Review: Extension without change of currently approved 
collection.
    Title: 29 CFR Part 825, The Family and Medical Leave Act of 1993.
    OMB Number: 1215-0181.
    Form Numbers: WH-380 and WH-381.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Business and other for-profit.
    Estimated Number of Respondents: 391,000.
    Estimated Number of Annual Responses: 15,058,850.
    Estimated Average Response Time: 5 minutes for the Form WH-381 and 
20 minutes for the WH-380.
    Estimated Total Annual Burden Hours: 1,370,288.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $11,915,480.
    Description: The Family and Medical Leave Act of 1993 (FMLA) 
requires private sector employers of 50 or more employees, and public 
agencies to provide up to 12 weeks of unpaid, job-protected leave to 
``eligible'' employees for certain family and medical reasons. Records 
are required so that the Department of Labor can determine employer 
compliance with FMLA. These recordkeeping requirements are necessary in 
order for the DOL to carry out its statutory obligation under section 
106 of FMLA to investigate and ensure employer compliance. By requiring 
employers to maintain these records, the DOL is able to determine 
employer compliance. Because these collections involve third-party 
notifications between the employer and the employee, the WHD created 
optional Forms WH-380 and WH-381 to assist employees and employers in 
meeting their regulatory notification obligations under the FMLA. Form 
WH-380 allows employees who are requesting FMLA leave based on a 
serious health condition to satisfy a mandatory requirement to furnish 
a medical certification (when requested) from their health care 
provider, including second or third opinions and recertifications. See 
29 CFR 825.306. Form WH-381 allows employers to satisfy mandatory 
requirements to provide employees taking FMLA-leave with written notice 
detailing specific expectations and obligations of the employee and 
explaining any consequences of a failure to meet these obligations. See 
29 CFR 825.301(b). These collections are necessary to ensure that both 
employers and employees are aware of and can exercise their rights and 
meet their respective obligations under FMLA.

    Agency: Employment Standards Administration.
    Type of Review: Revision of currently approved collection.
    Title: Energy Employees Occupational Illness Compensation Program 
Act Forms (Various).

    OMB Number: 1215-0197.
    Form Numbers: See below.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Individuals or households; Business or other for-
profit; and Federal Government.

                                         Burden Estimate by Form Number
----------------------------------------------------------------------------------------------------------------
                                                                     Estimated
                                                                     number of        Average      Annual burden
                              Form                                    annual       response time       hours
                                                                     responses        (hours)
----------------------------------------------------------------------------------------------------------------
EE-1............................................................           6,711            0.28           1,901
EE-2............................................................          14,331            0.35           5,016

[[Page 32868]]

 
EE-3............................................................          16,748            1.00          16,748
EE-4............................................................           4,187            0.50           2,094
EE-5A...........................................................           2,884            0.50           1,442
EE-5B...........................................................             500            0.50             250
EE-7............................................................          16,748            0.25           4,187
EE-7A...........................................................           2,311            0.25             578
EE-7B...........................................................           1,103            0.25             276
EE-8............................................................             968            0.08              81
EE-9............................................................             826            0.08              69
EE-10...........................................................             100            0.08               8
EE-10A..........................................................              37            0.50              19
EE-12...........................................................           4,000            0.33           1,333
EE-13...........................................................              51           16.00             816
EE/EN-20........................................................           7,557            0.08             630
                                                                 -----------------------------------------------
    Total.......................................................          79,062  ..............          35,447
----------------------------------------------------------------------------------------------------------------

    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $4,629.
    Description: The information collected by these forms is used by 
Office of Worker Compensation Program claims examiners to determine 
eligibility for compensation. The information, with the medical 
evidence and other supporting documentation, is used to determine 
whether or not the claimant is entitled to compensation under Part B 
and/or E of Energy Employees Occupational Illness Compensation Program 
Act of 2000, as amended, 42 U.S.C. 7384 et seq.

Darrin A. King,
Acting Departmental Clearance Officer.
 [FR Doc. E7-11491 Filed 6-13-07; 8:45 am]
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