Professional Documents
Culture Documents
other forms of information technology, collection instruments are clearly EE–1, Claim for Benefits Under Energy
e.g., permitting electronic submissions understood, and the impact of collection Employees Occupational Illness
of responses. requirements on respondents can be Compensation Program Act is used to
properly assessed. Currently, the file notice of claim under Part B and/or
III. Current Actions
Employment Standards Administration E of the EEOICPA, and is to be
The Department of Labor seeks the is soliciting comments concerning the completed by the living current or
extension of approval to collect this proposed collection: Energy Employees former employee; EE–2, Claim for
information in order to gather Occupational Illness Compensation Survivor Benefits Under Energy
information to determine eligibility for Program Act Forms (EE–1 English and Employees Occupational Illness
benefits of a survivor of a Black Lung EE–1 Spanish, EE–2 English and EE–2
Compensation Program Act is used by
Act beneficiary. Spanish, EE–3 English and EE–3
the survivor of a covered employee to
Type of Review: Extension. Spanish, EE–4 English and EE–4
Agency: Employment Standards Spanish, EE–7 English and EE–7 file notice of claim under Part B and/or
Administration. Spanish, EE–8, EE–9, EE–10, EE–12, E of the EEOICPA; EE–3, Employment
Title: Survivor’s Form for Benefits. EE–13, EE–20). A copy of the proposed History for Claim Under Energy
OMB Number: 1215–0069. information collection request can be Employees Occupational Illness
Agency Number: CM–912. obtained by contacting the office listed Compensation Program Act is used to
Affected Public: Individuals or below in the addressee section of this gather factual information regarding the
households. Notice. employee’s work history; EE–4,
Total Respondents: 2,000. DATES: Written comments must be
Employment History Affidavit for Claim
Total Annual Responses: 2,000. submitted to the office listed in the Under the Energy Employees
Average Time per Response: 8 addresses section below on or before Occupational Illness Compensation
minutes. May 7, 2007. Program Act is used to support the
Estimated Total Burden Hours: 267. ADDRESSES: Ms. Hazel M. Bell, U.S.
claimant’s employment history by
Frequency: One time. Department of Labor, 200 Constitution affidavit; EE–7, Medical Requirements
Total Burden Cost (capital/startup): Ave., NW., Room S–3201, Washington, Under the Energy Employees
$0. DC 20210, telephone (202) 693–0418, Occupational Illness Compensation
Total Burden Cost (operating/ fax (202) 693–1451, e-mail Program Act informs an employee,
maintenance): $672.00. bell.hazel@dol.gov. Please use only one survivor or physician of the medical
Comments submitted in response to method of transmission for comments evidence needed to establish a diagnosis
this notice will be summarized and/or (mail, fax, or e-mail). of a covered condition; EE–8, Letter to
included in the request for Office of Claimant is sent with enclosure EN–8 to
SUPPLEMENTARY INFORMATION
Management and Budget approval of the obtain information on the employees’
information collection request; they will I. Background smoking history when lung cancer due
also become a matter of public record. The Office of Workers’ Compensation to radiation is claimed; EE–9, Letter to
Ruben Wiley, Programs (OWCP) is the primary agency Claimant is sent with enclosure EN–9 to
Chief, Branch of Management Review and responsible for the administration of the obtain information concerning the race
Internal Control, Division of Financial Energy Employees Occupational Illness or ethnicity of the employee when skin
Management, Office of Management, Compensation Program Act of 2000 as cancer is claimed; EE–10, Claim for
Administration and Planning, Employment amended (EEOICPA or Act), 42 U.S.C. Additional Wage-Loss and/or
Standards Administration. 7384 et seq. The Act provides for timely Impairment Under the EEOICPA is used
[FR Doc. E7–3866 Filed 3–5–07; 8:45 am] payment of compensation to covered by the covered Part E employee who has
BILLING CODE 4510–CK–P employees and, where applicable, received an award for wage-loss and/or
survivors of such employees, who
impairment due to ‘‘covered illness’’ to
sustained either ‘‘occupational
DEPARTMENT OF LABOR claim for subsequent calendar year of
illnesses’’ or ‘‘covered Illnesses’’
incurred in the performance of duty for wage-loss and/or any additional
Employment Standards Administration the Department of Energy and certain of impairment; EE–12, Letter to covered
its contractors and subcontractors. The Part B and E employees receiving
Proposed Collection; Comment medical benefits, sent with enclosure
Act sets forth eligibility criteria for
Request EN–12 and is used to collect updated
claimants for compensation under Part
B and Part E of the Act, and outlines the information about settlements or awards
ACTION: Notice.
various elements of compensation in litigation and state workers’
SUMMARY: The Department of Labor, as payable from the Fund established by compensation benefits that impact
part of its continuing effort to reduce the Act. The information collected is continuing entitlement; EE–13, Letter to
paperwork and respondent burden, used to obtain demographic, factual and state workers’ compensation authorities,
conducts a preclearance consultation medical information needed to sent with enclosure EN–13 and is used
program to provide the general public determine entitlement to benefits under to identify covered Part E employees
and Federal agencies with an the EEOICPA. Before benefits may be receiving medical benefits who have
opportunity to comment on proposed paid, the case files must contain also been awarded state workers’
and/or continuing collections of medical and employment evidence compensation for their covered
information in accordance with the showing the claimant’s eligibility. The
cprice-sewell on PROD1PC67 with NOTICES
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Federal Register / Vol. 72, No. 43 / Tuesday, March 6, 2007 / Notices 9977
II. Review Focus information collection request; they will III. Data
also become a matter of public record. Title: NASA acquisition process, bids
The Department of Labor is
particularly interested in comments Ruben Wiley, and proposals for contracts with an
which: Chief, Branch of Management Review and estimated value more than $500,000.
• Evaluate whether the proposed Internal Control, Division of Financial OMB Number: 2700–0085.
collection of information is necessary Management, Office of Management, Type of Review: Revision of currently
for the proper performance of the Administration and Planning, Employment approved collection.
functions of the agency, including Standards Administration. Affected Public: Business or other for-
whether the information will have [FR Doc. E7–3867 Filed 3–5–07; 8:45 am] profit; not-for-profit institutions; and
practical utility; BILLING CODE 4510–CR–P State, Local or Tribal Government.
Estimated Number of Respondents:
• Evaluate the accuracy of the
1148.
agency’s estimate of the burden of the Estimated Annual Responses: 1148.
proposed collection of information, NATIONAL AERONAUTICS AND
Estimated Time Per Response: 600
including the validity of the SPACE ADMINISTRATION
hours.
methodology and assumptions used; [07–017] Estimated Total Annual Burden
• Enhance the quality, utility and Hours: 688,800.
clarity of the information to be Notice of Information Collection Under Estimated Total Annual Cost: $0.
collected; and OMB Review
• Minimize the burden of the IV. Request for Comments
collection of information on those who AGENCY: National Aeronautics and Comments are invited on: (1) Whether
are to respond, including through the Space Administration (NASA). the proposed collection of information
use of appropriate automated, ACTION: Notice of information collection is necessary for the proper performance
electronic, mechanical, or other under OMB review. of the functions of NASA, including
technological collection techniques or whether the information collected has
SUMMARY: The National Aeronautics and
other forms of information technology, practical utility; (2) the accuracy of
Space Administration, as part of its NASA’s estimate of the burden
e.g., permitting electronic submissions
continuing effort to reduce paperwork (including hours and cost) of the
of responses.
and respondent burden, invites the proposed collection of information; (3)
III. Current Actions general public and other Federal ways to enhance the quality, utility, and
agencies to take this opportunity to clarity of the information to be
The Department of Labor seeks
comment on proposed and/or collected; and (4) ways to minimize the
approval for the revision of this
continuing information collections, as burden of the collection of information
information collection in order to carry
required by the Paperwork Reduction on respondents, including automated
out its responsibility to determine a
Act of 1995 (Pub. L. 104–13, 44 U.S.C. collection techniques or the use of other
claimant’s eligibility for compensation
3506(c)(2)(A)). forms of information technology.
under the EEOICPA.
DATES: All comments should be
Type of Review: Revision. Gary L. Cox,
submitted within 30 calendar days from
Agency: Employment Standards Deputy Chief Information Officer (Acting).
the date of this publication.
Administration. [FR Doc. E7–3858 Filed 3–5–07; 8:45 am]
ADDRESSES: All comments should be
Title: Energy Employee Occupational
Illness Compensation Act Forms addressed to Desk Officer for NASA; BILLING CODE 7510–13–P
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