Attachment D. Federal Register Notice

FMLA Wave 4 Surveys_OMB Attachment D_Federal Register Notice.pdf

Family and Medical Leave Act, Wave 4 Surveys

Attachment D. Federal Register Notice

OMB: 1290-0015

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Federal Register / Vol. 81, No. 209 / Friday, October 28, 2016 / Notices
Ms. Yoon Ferguson, U.S.
Department of Labor, 200 Constitution
Ave. NW., Room S–3323, Washington,
DC 20210, telephone/fax (202)354–9647,
Email [email protected]. Please
use only one method of transmission for
comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
ADDRESSES:

I. Background
The Office of Workers’ Compensation
Programs (OWCP) administers the
Longshore and Harbor Workers’
Compensation Act (LHWCA). LHWCA
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. In
addition, several Acts extend the
Longshore Act’s coverage to certain
other employees. The following
regulations have been developed to
implement the Act’s provisions and to
provide clarification in those areas
where it was deemed necessary (20 CFR
702.162, 702.174, 702.175, 20 CFR
702.242, 20 CFR 702.285, 702.321,
702.201, and 702.111). In some cases,
prior regulations have been updated and
changed either to reflect the intent of

the amended Act or to correct
recognized deficiencies. This
information collection is currently
approved for use through January 31,
2017.
II. Review Focus
The Department of Labor 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 submissions
of responses.
III. Current Actions
The Department of Labor seeks the
approval for the revision of this
currently approved information
collection.
Agency: Office of Workers’
Compensation Programs.
Type of Review: Revision.
Title: Regulations Governing the
Administration of the Longshore and
Harbor Workers’ Compensation Act.
OMB Number: 1240–0014.
AGENCY NUMBER: (LS–200, LS–201,
LS–203, LS–204, LS–262, LS–267, LS–
271, LS–274, and LS–513).
Affected Public: Individuals or
households, Businesses or other forprofit.
Total Respondents: 90,759.
Total Annual Responses: 90,759.
Estimated Total Burden Hours:
32,971.
Estimated Time per Response: 2
minutes to 3 hours.
Frequency: On occasion and annually.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $26,203.

Burden summary

Hours

LS–200 (20 CFR 702.285) ..................................................................................................................................................................
20 CFR 702.162 (Liens) ......................................................................................................................................................................
20 CFR 702.174 (Certifications) ..........................................................................................................................................................
20 CFR 702.175 (Reinstatements) ......................................................................................................................................................
20 CFR 702.242 (Settlement Applications) .........................................................................................................................................
20 CFR 702.321 (Section 8(f) Payments) ...........................................................................................................................................
ESA–100 (20 CFR 702.201) ...............................................................................................................................................................
LS–271 (Self Insurance Application) ...................................................................................................................................................
LS–274 (Injury Report of Insurance Carrier and Self-Insured Employer) ...........................................................................................
LS–201 (Injury or Death Notice) ..........................................................................................................................................................
LS–513 (Payment Report) ...................................................................................................................................................................
LS–267 (Claimant’s Statement) ...........................................................................................................................................................
LS–203 (Employee Comp. Claim) .......................................................................................................................................................
LS–204 (Medical Report) .....................................................................................................................................................................
LS–262 (Claim for Death Benefits) .....................................................................................................................................................

571
5
4
1
11,646
2,900
840
27
569
325
290
25
2,048
13,650
70

Total Burden Hours ......................................................................................................................................................................

32,971

Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget approval of the
information collection request; they will
also become a matter of public record.
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75161

Dated: October 24, 2016.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2016–26085 Filed 10–27–16; 8:45 am]

DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Family
and Medical Leave Act (FMLA) Wave 4
Surveys
Office of the Assistant
Secretary for Policy, Chief Evaluation
Office, Department of Labor.
ACTION: Notice.
AGENCY:

BILLING CODE 4510–CF–P

The Department of Labor
(DOL), as part of its continuing effort to

SUMMARY:

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reduce paperwork and respondent
burden, conducts a preclearance
consultation program to provide the
general public and Federal agencies
with an opportunity to comment on
proposed and/or continuing collections
of information in accordance with the
Paperwork Reduction Act of 1995
(PRA95) [44 U.S.C. 3506(c)(2)(A)]. This
program helps to ensure that requested
data can be provided in the desired
format, reporting burden (time and
financial resources) is minimized,
collection instruments are clearly
understood, and the impact of collection

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Federal Register / Vol. 81, No. 209 / Friday, October 28, 2016 / Notices

requirements on respondents is properly
assessed.
Currently, the Department of Labor is
soliciting comments concerning the
collection of data about the Family and
Medical Leave Act (FMLA) Wave 4
Surveys. A copy of the proposed
Information Collection Request (ICR)
can be obtained by contacting the office
listed below in the addressee section of
this notice.
DATES: Written comments must be
submitted to the office listed in the
addressee section below on or before
December 27, 2016.
ADDRESSES: You may submit comments
by either one of the following methods:
Email: [email protected];
Mail or Courier: Christina Yancey, Chief
Evaluation Office, OASP, U.S.
Department of Labor, Room S–2312, 200
Constitution Avenue NW., Washington,
DC 20210. Instructions: Please submit
one copy of your comments by only one
method. All submissions received must
include the agency name and OMB
Control Number identified above for
this information collection. Because we
continue to experience delays in
receiving mail in the Washington, DC
area, commenters are strongly
encouraged to transmit their comments
electronically via email or to submit
them by mail early. Comments,
including any personal information
provided, become a matter of public
record. They will also be summarized
and/or included in the request for OMB
approval of the information collection
request.
FOR FURTHER INFORMATION CONTACT:
Christina Yancey by email at
[email protected].

SUPPLEMENTARY INFORMATION:

I. Background: Enacted in 1993, the
Family and Medical Leave Act (FMLA)
guarantees eligible U.S. employees of
covered employers the right to take
unpaid leave to attend to their own
medical issues or those of their family.
The Act further allows for the
continuation of employer-sponsored
health insurance coverage during leave
and reinstatement of the previous or an
equivalent job upon return to work. To
better understand the range of
perspectives on FMLA, the Chief
Evaluation Office of the U.S.
Department of Labor (DOL) has
commissioned the development and
administration of two surveys to collect
information about the need for and the
experience with family and medical
leave from employees’ and employers’
respective perspectives. This effort will
build on previous information
collection efforts, as the new surveys
will update and expand on the evidence
about FMLA use and leave-taking that
has been generated by three prior
‘‘waves’’ of surveys (1995, 2000, and
2012).
This Federal Register Notice provides
the opportunity to comment on two
proposed data collection instruments
that will be used to collect information
on employee and employer perspectives
on FMLA:
* Survey of Employees. The survey of
employees on use of leave, need for
leave, and their experience with FMLAeligible leave is anticipated to occur in
2017 and 2018.
* Survey of Employers. The survey of
employers on employee use of leave,
and their experience managing FMLA

leaves (for those covered by FMLA) is
anticipated to occur in 2017 and 2018.
II. Desired Focus of Comments:
Currently, the Department of Labor is
soliciting comments concerning the
above data collection for the FMLA
Wave 4 Surveys. DOL is particularly
interested in comments that do the
following:
* Evaluate whether the proposed
collection of information is necessary
for the proper performance functions of
the agency, including whether the
information will have practical utility;
* evaluate the accuracy of the
agency’s burden estimate of the
proposed information collection,
including the validity of the
methodology and assumptions;
* 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—
for example, permitting electronic
submissions of responses.
III. Current Actions: At this time, the
Department of Labor is requesting
clearance for the implementation site
visit protocols, the focus group
protocols, and a survey.
Type of Review: New information
collection request.
OMB Control Number: 1205–0NEW.
Affected Public: Individuals contacted
to conduct the employee survey; Staff at
employers contacted for the employer
survey.

ESTIMATED TOTAL BURDEN HOURS
Estimated
total
respondents

Respondents

Number of
responses per
respondent

Average
burden time
per response
(minutes)

Estimated
total burden
(hours)

Employee Survey
Screeners (cellphone) ......................................................................................
Screeners (landline) .........................................................................................
Interviewee: Leave-taker .................................................................................
Interviewee: Leave-needer.

21,500
5,091
1,778

1
1
1

1
3
18

358
255
533

72

1

1

72

72

1

1

72

90

1

.25

22.5

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Site Visit
Round 1:
P3 Youth ...................................................................................................
Round 2:
P3 Youth ...................................................................................................
Partner Survey
Round 1:
P3 Administrators/Staff .............................................................................
Round 2:

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Federal Register / Vol. 81, No. 209 / Friday, October 28, 2016 / Notices
ESTIMATED TOTAL BURDEN HOURS—Continued
Estimated
total
respondents

Respondents

Average
burden time
per response
(minutes)

Estimated
total burden
(hours)

P3 Administrators/Staff .............................................................................

90

1

.25

22.5

Total ...................................................................................................

594

........................

........................

526.5

Employee Survey

DEPARTMENT OF LABOR

I. Background

Sampled households/individuals:
26,591.
Respondents: 4,000.
Frequency of response: once.
Annual hour burden:
Screeners:
Cell-phone: 21,500 individuals; 1
minute each; 358 hours.
Landline: 5,091 households; 3
minutes each; 255 hours.
Extended interview:
Leave-taker interview: 1,778
respondents; 18 minutes each; 533
hours.
Leave-needer interview: 422
respondents; 18 minutes each; 127
hours.
Employed-only interview: 1,800
respondents; 10 minutes each; 300
hours.
Nonresponse follow-up: 500
respondents; 10 minutes each; 83 hours.
Total burden: 4,000 respondents;
1,656 hours.
Annualized hour burden: 1,656 hours;
$25.62 per hour; 1 $42,427.
Comments submitted in response to
this request will be summarized and/or
included in the request for Office of
Management and Budget approval of the
information collection request; they will
also become a matter of public record.

Office of Workers’ Compensation
Programs

The Office of Workers’ Compensation
Programs (OWCP) is the primary agency
responsible for the administration of the
Energy Employees Occupational Illness
Compensation Program Act of 2000, as
amended (EEOICPA or Act), 42 U.S.C.
7384 et seq. The Act provides for timely
payment of compensation to covered
employees and, where applicable,
survivors of such employees, who
sustained either ‘‘occupational
illnesses’’ or ‘‘covered illnesses’’
incurred in the performance of duty for
the Department of Energy and certain of
its contractors and subcontractors. The
Act sets forth eligibility criteria for
claimants for compensation under Part
B and Part E of the Act, and outlines the
various elements of compensation
payable from the Fund established by
the Act. The information collections in
this ICR collect demographic, factual
and medical information needed to
determine entitlement to benefits under
the EEOICPA. This information
collection is currently approved for use
through December 31, 2016.

Dated: October 20, 2016.
Sharon Block,
Principal Deputy Assistant Secretary for
Policy, U.S. Department of Labor.

Division of Energy Employees
Occupational Illness Compensation;
Proposed Extension of Existing
Collection; Comment Request
ACTION:

Notice.

The Department of Labor, as
part of its continuing effort to reduce
paperwork and respondent burden,
conducts a preclearance consultation
program to provide the general public
and Federal agencies with an
opportunity to comment on proposed
and/or continuing collections of
information in accordance with the
Paperwork Reduction Act of 1995
(PRA95) [44 U.S.C. 3506(c)(2)(A)]. This
program helps to ensure that requested
data can be provided in the desired
format, reporting burden (time and
financial resources) is minimized,
collection instruments are clearly
understood, and the impact of collection
requirements on respondents can be
properly assessed. Currently, the Office
of Workers’ Compensation Programs is
soliciting comments concerning the
proposed collection: Energy Employees
Occupational Illness Compensation
Program Act Forms (Forms EE–1, EE–2,
EE–3, EE–4, EE–7, EE–8, EE–9, EE–10,
EE–11A, EE–11B, EE–12, EE–13, EE–16,
EE–20). A copy of the proposed
information collection request can be
obtained by contacting the office listed
below in the addresses section of this
Notice.

SUMMARY:

Written comments must be
submitted to the office listed in the
addresses section below on or before
December 27, 2016.

DATES:

[FR Doc. 2016–26084 Filed 10–27–16; 8:45 am]
BILLING CODE 4510–HX–P

Ms. Yoon Ferguson, U.S.
Department of Labor, 200 Constitution
Ave. NW., Room S–3323, Washington,
DC 20210, telephone/fax (202) 354–
9647, Email [email protected].
Please use only one method of
transmission for comments (mail, fax, or
Email).

ADDRESSES:
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Number of
responses per
respondent

1 Hourly

wage reflects the June 2016 (seasonallyadjusted) average hourly earnings for private
nonfarm payrolls, as reported by the U.S.
Department of Labor, Bureau of Labor Statistics,
Table B–3. ‘‘Average hourly and weekly earnings of
all employees on private nonfarm payrolls by
industry sector, seasonally adjusted’’ (accessed from
the following Web site as of September 26, 2016:
http://www.bls.gov/news.release/empsit.t19.htm).

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SUPPLEMENTARY INFORMATION:

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II. Review Focus
The Department of Labor 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 submissions
of responses.

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