82_FR_13057 82 FR 13013 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Employer's First Report of Injury or Occupational Disease, Employer's Supplementary Report of Accident or Occupational Illness

82 FR 13013 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Employer's First Report of Injury or Occupational Disease, Employer's Supplementary Report of Accident or Occupational Illness

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 82, Issue 44 (March 8, 2017)

Page Range13013-13014
FR Document2017-04506

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) titled, ``Employer's First Report of Injury or Occupational Disease, Employer's Supplementary Report of Accident or Occupational Illness,'' to the Office of Management and Budget (OMB) for review and approval for continued use, without change, in accordance with the Paperwork Reduction Act of 1995 (PRA). Public comments on the ICR are invited.

Federal Register, Volume 82 Issue 44 (Wednesday, March 8, 2017)
[Federal Register Volume 82, Number 44 (Wednesday, March 8, 2017)]
[Notices]
[Pages 13013-13014]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04506]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Employer's First Report of Injury or 
Occupational Disease, Employer's Supplementary Report of Accident or 
Occupational Illness

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) titled, ``Employer's First Report of Injury or 
Occupational Disease, Employer's Supplementary Report of Accident or 
Occupational Illness,'' to the Office of

[[Page 13014]]

Management and Budget (OMB) for review and approval for continued use, 
without change, in accordance with the Paperwork Reduction Act of 1995 
(PRA). Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before April 7, 2017.

ADDRESSES: A copy of this ICR with applicable supporting documentation; 
including a description of the likely respondents, proposed frequency 
of response, and estimated total burden may be obtained free of charge 
from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201611-1240-004 (this link will only become active 
on the day following publication of this notice) or by contacting 
Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are 
not toll-free numbers) or by email at [email protected].
    Submit comments about this request by mail or courier to the Office 
of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-
OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW., 
Washington, DC 20503; by Fax: 202-395-5806 (this is not a toll-free 
number); or by email: [email protected]. Commenters are 
encouraged, but not required, to send a courtesy copy of any comments 
by mail or courier to the U.S. Department of Labor-OASAM, Office of the 
Chief Information Officer, Attn: Departmental Information Compliance 
Management Program, Room N1301, 200 Constitution Avenue NW., 
Washington, DC 20210; or by email: [email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or by 
email at [email protected].

    Authority: 44 U.S.C. 3507(a)(1)(D).

SUPPLEMENTARY INFORMATION: This ICR seeks to extend PRA authority for 
the Employer's First Report of Injury or Occupational Disease (Form LS-
202), Employer's Supplementary Report of Accident or Occupational 
Illness (Form LS-210) information collection. Longshore and Harbor 
Workers' Compensation Act (Longshore Act) section 30(a) provides that a 
covered employer having knowledge of a disease or injury related to an 
employee's employment must file a report of the disease or injury to 
the Secretary of Labor within 10 days after the date of injury or 
death. The employer would use Form LS-202 to make the initial report. 
Longshore Act section 30(b) requires the employer to furnish additional 
necessary reports regarding an employee's injury, and the employer 
would use Form LS-210 as a supplementary report after the employer's 
first report to report additional periods of lost-time from work. 
Proper filing of Forms LS-202 and LS-210 meets the statutory 
requirements. Longshore Act section 30 authorizes this information 
collection. See 33 U.S.C. 930.
    This information collection is subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless it is approved by the OMB under the PRA and displays 
a currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information that 
does not display a valid Control Number. See 5 CFR 1320.5(a) and 
1320.6. The DOL obtains OMB approval for this information collection 
under Control Number 1240-0003.
    OMB authorization for an ICR cannot be for more than three (3) 
years without renewal, and the current approval for this collection is 
scheduled to expire on March 31, 2017. The DOL seeks to extend PRA 
authorization for this information collection for three (3) more years, 
without any change to existing requirements. The DOL notes that 
existing information collection requirements submitted to the OMB 
receive a month-to-month extension while they undergo review. For 
additional substantive information about this ICR, see the related 
notice published in the Federal Register on November 23, 2016 (81 FR 
84622).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within thirty (30) days of publication of this 
notice in the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0003. 
The OMB is particularly interested in comments that:
     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: DOL-OWCP.
    Title of Collection: Employer's First Report of Injury or 
Occupational Disease, Employer's Supplementary Report of Accident or 
Occupational Illness.
    OMB Control Number: 1240-0003.
    Affected Public: Private Sector--businesses or other for-profits 
and not-for-profit institutions.
    Total Estimated Number of Respondents: 24,631.
    Total Estimated Number of Responses: 24,631.
    Total Estimated Annual Time Burden: 6,158 hours.
    Total Estimated Annual Other Costs Burden: $11,143.

    Dated: March 2, 2017.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2017-04506 Filed 3-7-17; 8:45 am]
BILLING CODE 4510-CF-P



                                                                               Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices                                                  13013

                                                  SUMMARY:   Department of Justice (DOJ),                 Overview of This Information                          (including cross-deputization
                                                  Criminal Division will be submitting the                Collection                                            agreements), training received by state
                                                  following information collection request                   (1) Type of Information Collection:                and local law enforcement agencies on
                                                  to the Office of Management and Budget                  Reinstatement, with change, to a                      tribal jurisdiction, tribal law and tribal
                                                  (OMB) for review and approval in                        previously approved collection                        culture, and the number and types of
                                                  accordance with the Paperwork                           (previous approval recalled to redesign               incidents policed by state and local law
                                                  Reduction Act of 1995. This proposed                    the effort as a survey rather than a                  enforcement agencies. This survey is the
                                                  information collection was previously                   census).                                              first of its kind to describe the role that
                                                  published in the Federal Register at 81                    (2) Title of the Form/Collection:                  state and local law enforcement play in
                                                  FR 94419, on December 23, 2016,                         Survey of State and Local Law                         policing crime on tribal lands in PL–280
                                                  allowing for a 60 day comment period.                   Enforcement Agencies Serving Tribal                   states.
                                                                                                          Lands/State and Local Justice Agencies                   (5) An estimate of the total number of
                                                  DATES:  Comments are encourages and                                                                           respondents and the amount of time
                                                                                                          Serving Tribal Lands.
                                                  will be accepted for an additional 30                                                                         estimated for an average respondent to
                                                                                                             (3) Agency form number, if any, and
                                                  day until April 7, 2017.                                the applicable component of the                       respond/reply: The survey will be sent
                                                                                                          Department sponsoring the collection:                 to 1,741 respondents. BJS expects an
                                                  FOR FURTHER INFORMATION CONTACT:    If
                                                                                                          Agency form number: No agency form                    80% response rate, or 1,393 total
                                                  you have additional comments
                                                                                                          number at this time. Sponsoring                       respondents. It is estimated that each
                                                  especially on the estimated public
                                                                                                          component: Department of Justice,                     respondent will take 1 hour to complete
                                                  burden or associated response time,
                                                                                                          Bureau of Justice Statistics.                         the form. An additional 30 minutes
                                                  suggestions, or need a copy of the                                                                            burden is estimated for nonresponse
                                                  proposed information collection                            (4) Affected public who will be asked
                                                                                                          or required to respond, as well as a brief            follow-up, as well as outreach to
                                                  instrument with instructions or                                                                               respondents that provided problematic
                                                  additional information, please contact                  abstract: Respondents will be general
                                                                                                          purpose state and local law enforcement               data. The total burden per respondent is
                                                  Suzanne Strong, Bureau of Justice                                                                             90 minutes.
                                                  Statistics, 810 Seventh St. NW.,                        agencies (LEAs) that are responsible for
                                                                                                          policing tribal lands in the sixteen                     (6) An estimate of the total public
                                                  Washington, DC 20531 (email:                                                                                  burden (in hours) associated with the
                                                  Suzanne.M.Strong@usdoj.gov;                             Public Law 280 (PL–280) states (Alaska,
                                                                                                          Arizona, California, Florida, Idaho,                  collection: There are an estimated 2,090
                                                  telephone: 202–616–3666). Written                                                                             total burden hours associated with this
                                                  comments and/or suggestions can also                    Iowa, Minnesota, Montana, Nebraska,
                                                                                                          Nevada, North Dakota, Oregon, South                   collection.
                                                  be sent to the Office of Management and                                                                          If additional information is required
                                                  Budget, Office of Information and                       Dakota, Utah, Washington, and
                                                                                                                                                                contact: Melody Braswell, Department
                                                  Regulatory Affairs, Attention                           Wisconsin). General purpose law
                                                                                                                                                                Clearance Officer, United States
                                                                                                          enforcement agencies include state
                                                  Department of Justice Desk Officer,                                                                           Department of Justice, Justice
                                                                                                          police departments, sheriff’s offices, and
                                                  Washington, DC 20503 or sent to OIRA_                                                                         Management Division, Policy and
                                                                                                          local law enforcement agencies. The
                                                  submissions@omb.eop.gov.                                                                                      Planning Staff, Two Constitution
                                                                                                          survey will also include village public
                                                                                                                                                                Square, 145 N Street NE., Suite 3E.405B,
                                                  SUPPLEMENTARY INFORMATION:    Written                   safety coordinating officer (VPSO) non-
                                                                                                                                                                Washington, DC 20530.
                                                  comments and suggestions from the                       profit coordinating agencies. Abstract:
                                                  public and affected agencies concerning                 Among other responsibilities, the                       Dated: March 3, 2017.
                                                  the proposed collection of information                  Bureau of Justice Statistics (BJS) is                 Melody Braswell,
                                                  are encouraged. Your comments should                    charged with collecting data regarding                Department Clearance Officer, PRA, U.S.
                                                  address one or more of the following                    crimes occurring on tribal lands. The                 Department of Justice.
                                                  four points:                                            SLJASTL is the first effort by BJS to                 [FR Doc. 2017–04531 Filed 3–7–17; 8:45 am]
                                                                                                          include state and local justice agencies              BILLING CODE 4410–18–P
                                                  —Evaluate whether the proposed                          responsible for policing and prosecuting
                                                   collection of information is necessary                 crimes that occur on tribal lands in PL–
                                                   for the proper performance of the                      280 states. Specifically, the SSLLEASTL               DEPARTMENT OF LABOR
                                                   functions of the agency, including                     will collect information that will help
                                                   whether the information will have                      fill the gaps we have in our                          Office of the Secretary
                                                   practical utility;                                     understanding of the nature of crime on
                                                  —Evaluate the accuracy of the agencies                  tribal lands. There are two survey                    Agency Information Collection
                                                   estimate of the burden of the                          instruments: one for Alaska and one for               Activities; Submission for OMB
                                                                                                          the remaining fifteen PL–280 states. The              Review; Comment Request;
                                                   proposed collection of information,
                                                                                                          data collection instruments are designed              Employer’s First Report of Injury or
                                                   including the validity of the
                                                                                                          to capture administrative, operational                Occupational Disease, Employer’s
                                                   methodology and assumptions used;
                                                                                                          and caseload data from respondents.                   Supplementary Report of Accident or
                                                  —Enhance the quality, utility, and                                                                            Occupational Illness
                                                                                                          Information requested includes the
                                                   clarity of the information to be
                                                                                                          staffing and budgets of the state and                 ACTION:   Notice.
                                                   collected; and
                                                                                                          local law enforcement agencies, the
                                                  —Minimize the burden of the collection                  types of agreements state and local law               SUMMARY:   The Department of Labor
                                                   of information on those who are to                     enforcement agencies have with tribal                 (DOL) is submitting the Office of
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                                                   respond, including through the use of                  governments, types of patrol services,                Workers’ Compensation Programs
                                                   appropriate automated, electronic,                     traffic services, and detention services              (OWCP) sponsored information
                                                   mechanical, or other technological                     provided to tribal lands, information                 collection request (ICR) titled,
                                                   collection techniques or other forms                   sharing between state and local law                   ‘‘Employer’s First Report of Injury or
                                                   of information technology, e.g.,                       enforcement and tribal governments,                   Occupational Disease, Employer’s
                                                   permitting electronic submission of                    training provided by state and local law              Supplementary Report of Accident or
                                                   responses.                                             enforcement to tribal law enforcement                 Occupational Illness,’’ to the Office of


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                                                  13014                        Federal Register / Vol. 82, No. 44 / Wednesday, March 8, 2017 / Notices

                                                  Management and Budget (OMB) for                         report. Longshore Act section 30(b)                   including the validity of the
                                                  review and approval for continued use,                  requires the employer to furnish                      methodology and assumptions used;
                                                  without change, in accordance with the                  additional necessary reports regarding                   • Enhance the quality, utility, and
                                                  Paperwork Reduction Act of 1995                         an employee’s injury, and the employer                clarity of the information to be
                                                  (PRA). Public comments on the ICR are                   would use Form LS–210 as a                            collected; and
                                                  invited.                                                supplementary report after the                           • Minimize the burden of the
                                                  DATES: The OMB will consider all                        employer’s first report to report                     collection of information on those who
                                                  written comments that agency receives                   additional periods of lost-time from                  are to respond, including through the
                                                  on or before April 7, 2017.                             work. Proper filing of Forms LS–202                   use of appropriate automated,
                                                  ADDRESSES: A copy of this ICR with                      and LS–210 meets the statutory                        electronic, mechanical, or other
                                                  applicable supporting documentation;                    requirements. Longshore Act section 30                technological collection techniques or
                                                  including a description of the likely                   authorizes this information collection.               other forms of information technology,
                                                  respondents, proposed frequency of                      See 33 U.S.C. 930.                                    e.g., permitting electronic submission of
                                                  response, and estimated total burden                      This information collection is subject              responses.
                                                  may be obtained free of charge from the                 to the PRA. A Federal agency generally                   Agency: DOL–OWCP.
                                                  RegInfo.gov Web site at http://                         cannot conduct or sponsor a collection                   Title of Collection: Employer’s First
                                                  www.reginfo.gov/public/do/                              of information, and the public is                     Report of Injury or Occupational
                                                  PRAViewICR?ref_nbr=201611-1240-004                      generally not required to respond to an               Disease, Employer’s Supplementary
                                                  (this link will only become active on the               information collection, unless it is                  Report of Accident or Occupational
                                                  day following publication of this notice)               approved by the OMB under the PRA                     Illness.
                                                  or by contacting Michel Smyth by                        and displays a currently valid OMB                       OMB Control Number: 1240–0003.
                                                  telephone at 202–693–4129, TTY 202–                     Control Number. In addition,                             Affected Public: Private Sector—
                                                  693–8064, (these are not toll-free                      notwithstanding any other provisions of               businesses or other for-profits and not-
                                                  numbers) or by email at DOL_PRA_                        law, no person shall generally be subject             for-profit institutions.
                                                  PUBLIC@dol.gov.                                         to penalty for failing to comply with a                  Total Estimated Number of
                                                     Submit comments about this request                   collection of information that does not               Respondents: 24,631.
                                                  by mail or courier to the Office of                     display a valid Control Number. See 5                    Total Estimated Number of
                                                  Information and Regulatory Affairs,                     CFR 1320.5(a) and 1320.6. The DOL                     Responses: 24,631.
                                                  Attn: OMB Desk Officer for DOL–                         obtains OMB approval for this                            Total Estimated Annual Time Burden:
                                                  OWCP, Office of Management and                          information collection under Control                  6,158 hours.
                                                  Budget, Room 10235, 725 17th Street                     Number 1240–0003.                                        Total Estimated Annual Other Costs
                                                  NW., Washington, DC 20503; by Fax:                        OMB authorization for an ICR cannot                 Burden: $11,143.
                                                  202–395–5806 (this is not a toll-free                   be for more than three (3) years without                Dated: March 2, 2017.
                                                  number); or by email: OIRA_                             renewal, and the current approval for                 Michel Smyth,
                                                  submission@omb.eop.gov. Commenters                      this collection is scheduled to expire on
                                                  are encouraged, but not required, to                                                                          Departmental Clearance Officer.
                                                                                                          March 31, 2017. The DOL seeks to
                                                  send a courtesy copy of any comments                                                                          [FR Doc. 2017–04506 Filed 3–7–17; 8:45 am]
                                                                                                          extend PRA authorization for this
                                                  by mail or courier to the U.S.                          information collection for three (3) more             BILLING CODE 4510–CF–P
                                                  Department of Labor-OASAM, Office of                    years, without any change to existing
                                                  the Chief Information Officer, Attn:                    requirements. The DOL notes that
                                                  Departmental Information Compliance                     existing information collection                       NATIONAL AERONAUTICS AND
                                                  Management Program, Room N1301,                         requirements submitted to the OMB                     SPACE ADMINISTRATION
                                                  200 Constitution Avenue NW.,                            receive a month-to-month extension                    [Notice: (17–011)]
                                                  Washington, DC 20210; or by email:                      while they undergo review. For
                                                  DOL_PRA_PUBLIC@dol.gov.                                 additional substantive information                    NASA Advisory Council; Technology,
                                                  FOR FURTHER INFORMATION CONTACT:                        about this ICR, see the related notice                Innovation and Engineering
                                                  Contact Michel Smyth by telephone at                    published in the Federal Register on                  Committee; Meeting
                                                  202–693–4129, TTY 202–693–8064,                         November 23, 2016 (81 FR 84622).
                                                  (these are not toll-free numbers) or by                   Interested parties are encouraged to                AGENCY: National Aeronautics and
                                                  email at DOL_PRA_PUBLIC@dol.gov.                        send comments to the OMB, Office of                   Space Administration.
                                                     Authority: 44 U.S.C. 3507(a)(1)(D).                  Information and Regulatory Affairs at                 ACTION: Notice of meeting.
                                                  SUPPLEMENTARY INFORMATION:     This ICR                 the address shown in the ADDRESSES
                                                                                                                                                                SUMMARY:  In accordance with the
                                                  seeks to extend PRA authority for the                   section within thirty (30) days of
                                                                                                                                                                Federal Advisory Committee Act, as
                                                  Employer’s First Report of Injury or                    publication of this notice in the Federal
                                                                                                                                                                amended, the National Aeronautics and
                                                  Occupational Disease (Form LS–202),                     Register. In order to help ensure
                                                                                                                                                                Space Administration (NASA)
                                                  Employer’s Supplementary Report of                      appropriate consideration, comments
                                                                                                                                                                announces a meeting of the Technology,
                                                  Accident or Occupational Illness (Form                  should mention OMB Control Number
                                                                                                                                                                Innovation and Engineering (TI&E)
                                                  LS–210) information collection.                         1240–0003. The OMB is particularly
                                                                                                                                                                Committee of the NASA Advisory
                                                  Longshore and Harbor Workers’                           interested in comments that:
                                                                                                                                                                Council (NAC). This committee reports
                                                  Compensation Act (Longshore Act)                          • Evaluate whether the proposed                     to the NAC.
                                                  section 30(a) provides that a covered                   collection of information is necessary
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                          for the proper performance of the                     DATES: Tuesday, March 28, 2017, 8:00
                                                  employer having knowledge of a disease
                                                  or injury related to an employee’s                      functions of the agency, including                    a.m.–5:00 p.m., Local Time.
                                                  employment must file a report of the                    whether the information will have                     ADDRESSES: NASA Headquarters, Room
                                                  disease or injury to the Secretary of                   practical utility;                                    MIC 3A/B, 300 E Street SW.,
                                                  Labor within 10 days after the date of                    • Evaluate the accuracy of the                      Washington, DC 20546.
                                                  injury or death. The employer would                     agency’s estimate of the burden of the                FOR FURTHER INFORMATION CONTACT: Mr.
                                                  use Form LS–202 to make the initial                     proposed collection of information,                   Mike Green, Executive Secretary, NAC


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Document Created: 2017-03-08 05:07:04
Document Modified: 2017-03-08 05:07:04
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThe OMB will consider all written comments that agency receives on or before April 7, 2017.
ContactContact Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or by email at [email protected]
FR Citation82 FR 13013 

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