[Federal Register Volume 76, Number 85 (Tuesday, May 3, 2011)]
[Notices]
[Pages 24912-24913]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10610]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Request for Examination and/or Treatment

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) titled, ``Request for Examination and/or Treatment,'' 
Form LS-1, to the Office of Management and Budget (OMB) for review and 
approval for continued use in accordance with the Paperwork Reduction 
Act of 1995 (Pub. L. 104-13, 44 U.S.C. chapter 35).

DATES: Submit comments on or before June 2, 2011.

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 from the RegInfo.gov Web site, http://www.reginfo.gov/public/do/PRAMain, on the day following publication of this notice or by 
contacting Michel Smyth by telephone at 202-693-4129 (this is not a 
toll-free number) or sending an e-mail to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for the Department of Labor, 
Office of Workers' Compensation Programs (OWCP), Office of Management 
and Budget, Room 10235, Washington, DC 20503, Telephone: 202-395-6929/
Fax: 202-395-6881 (these are not toll-free numbers), e-mail: [email protected].

FOR FURTHER INFORMATION CONTACT:  Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by e-mail at [email protected].

SUPPLEMENTARY INFORMATION: The Request for Examination and/or 
Treatment, Form LS-1, is used by employers to authorize medical 
treatment for injured workers and by physicians to report findings of 
physical examinations and treatment recommended. 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

[[Page 24913]]

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 if the collection of 
information does not display a valid OMB control number. See 5 CFR 
1320.5(a) and 1320.6. The DOL obtains OMB approval for this information 
collection under OMB Control Number 1240-0029. The current OMB approval 
is scheduled to expire on May 31, 2011; however, it should be noted 
that information collections submitted to the OMB receive a month-to-
month extension while they undergo review. For additional information, 
see the related notice published in the Federal Register on December 
15, 2010 (75 FR 78270).
    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 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should reference OMB Control Number 1240-0029. 
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: Office of Worker Compensation Programs (OWCP).
    Title of Collection: Request for Examination and/or Treatment.
    OMB Control Number: 1240-0029.
    Affected Public: Private Sector--Businesses or other for profits; 
Individuals or Households.
    Total Estimated Number of Respondents: 96,000.
    Total Estimated Number of Responses: 144,000.
    Total Estimated Annual Burden Hours: 78,000.
    Total Estimated Annual Costs Burden: $3,417,840.

    Dated: April 27, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011-10610 Filed 5-2-11; 8:45 am]
BILLING CODE 4510-CF-P