Federal Register

DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection Activities; Submission for OMB Review; Comment
Request; Certification of Funeral Expenses
ACTION: Notice.
SUMMARY: The Department of Labor (DOL) is submitting the Office of Workers’
Compensation Programs (OWCP) sponsored information collection request (ICR) titled,
“Certification of Funeral Expenses,” 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 [INSERT DATE 30 DAYS AFTER THE DATE
OF PUBLICATION IN THE FEDERAL REGISTER].
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 tollfree number) or sending an email to [email protected].
Submit comments about this request to the Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for the U.S. 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 tollfree numbers), email: [email protected].

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FOR FURTHER INFORMATION: Contact Michel Smyth by telephone at 202-6934129 (this is not a toll-free number) or by email at [email protected].
SUPPLEMENTARY INFORMATION: The Office of Workers’ Compensation
Programs (OWCP) administers the Longshore and Harbor Workers’ Compensation Act.
The Act provides benefits to workers injured in maritime employment on the navigable
waters of the United States or in an adjoining area customarily used by an employer in
loading, unloading, repairing, or building a vessel. The Act provides that reasonable
funeral expenses not to exceed $3000 shall be paid in all compensable death cases. The
OWCP has developed Form LS-265 for use in submitting the funeral expenses for
payment.
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 if the collection of
information does not display a currently 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 1240-0040. The current OMB approval is scheduled to
expire on February 28, 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
October 18, 2010 (75 FR 63862).

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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 ensure
appropriate consideration, comments should reference OMB Control Number 1240-0040.
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;

•

Minimize the burden of the collection of information on those who are to

and

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 Workers’ Compensation Programs (OWCP).
Title of Collection: Certification of Funeral Expenses.
OMB Control Number: 1240-0040.
Affected Public: Businesses or other for-profits.
Total Estimated Number of Respondents: 80.
Total Estimated Number of Responses: 80.

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Total Estimated Annual Burden Hours: 20.
Total Estimated Annual Costs Burden: $38.
Dated: February 23, 2011.

Michel Smyth,
Departmental Clearance Officer.
BILLING CODE: 4510-CF-P

[FR Doc. 2011-4412 Filed 02/28/2011 at 8:45 am; Publication Date: 03/01/2011]

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