Form LM-30 Labor Organization Officer and Employee Report

OMB Control No: 1245-0007	ICR Reference No: 201008-1245-008
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: DOL/OLMS	Agency Tracking No: OLMS LM-30
Title: Form LM-30 Labor Organization Officer and Employee Report
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule	Conclusion Date: 01/10/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 10/20/2010
Terms of Clearance: The information collection requirements associated with this proposed rule are not approved at this time. DOL will resubmit this collection at the final rule stage, after considering public comments on the requirements.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The Labor-Management Reporting and Disclosure Act (LMRDA) requires labor organization officers and employees to disclose potential conflicts of interest between the labor organization officials and their labor organization. The Department of Labor established the Form LM-30, Labor Organization Officer and Employee Report, pursuant to this LMRDA requirement. All reports are available for public disclosure. Filers are required to retain supporting records for five years.

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Authorizing Statute(s): US Code: 29 USC 408 Name of Law: Labor-Management Reporting and Disclosure Act

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1245-AA01	Proposed rulemaking	75 FR 48416	08/10/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Labor Organization Officer and Employee Report - LM-30 LM-30 Labor Organization Officer and Employee Report

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Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: DOL seeks a new information collection for the revised form.

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Annual Cost to Federal Government: $6,490,504

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Andrew Davis 202 693-1253 [email protected]

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
		(a) It is necessary for the proper performance of agency functions;
		(b) It avoids unnecessary duplication;
		(c) It reduces burden on small entities;
		(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
		(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
		(f) It indicates the retention periods for recordkeeping requirements;
		(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
			(i) Why the information is being collected;
			(ii) Use of information;
			(iii) Burden estimate;
			(iv) Nature of response (voluntary, required for a benefit, or mandatory);
			(v) Nature and extent of confidentiality; and
			(vi) Need to display currently valid OMB control number;
		(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
		(i) It uses effective and efficient statistical survey methodology (if applicable); and
		(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date: 10/20/2010

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