Division of Coal Mine Workers' Compensation Proposed Renewal of Existing Collection; Comment Request, 24919-24920 [2011-10611]
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24919
Federal Register / Vol. 76, No. 85 / Tuesday, May 3, 2011 / Notices
formerly worked in the nation’s coal
mines. The person filing for benefits
must have worked in the nation’s coal
mines or be a survivor of a coal miner
as described under Title IV of the
Federal Mine Safety and Health Act of
1977, as amended, in order for benefits
to be pursued. This information
collection is currently approved for use
through September 30, 2011.
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
Form
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.
Time to complete
III. Current Actions: The Department
of Labor seeks the approval for the
extension of this currently approved
information collection in order to carry
out its responsibility to administer the
Black Lung Benefits Act.
Agency: Office of Workers’
Compensation Programs.
Type of Review: Extension.
Title: Miner’s Claim for Benefits
under the Black Lung Benefits Act (CM–
911) and Employment History (CM–
911A).
OMB Number: 1240–0038.
Agency Number: CM–911 and CM–
911A.
Affected Public: Individuals or
households.
Number of
respondents
Frequency of response
Number of
responses
Hours
burden
CM–911 .........................................
CM–911A ......................................
30
40
once .....................................
once .....................................
4,000
5,500
4,000
5,500
3,000
3,667
Totals .....................................
............................
..............................................
9,500
9,500
6,667
Total Respondents: 9,500.
Total Annual Responses: 9,500.
Average Time per Response: 42
minutes.
Estimated Total Burden Hours: 6,667.
Frequency: On occasion.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $1,771.
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.
Dated: April 27, 2011.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2011–10612 Filed 5–2–11; 8:45 am]
BILLING CODE 4510–CK–P
DEPARTMENT OF LABOR
srobinson on DSKHWCL6B1PROD with NOTICES
Office of Workers’ Compensation
Programs
Division of Coal Mine Workers’
Compensation Proposed Renewal 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 pre-clearance consultation
program to provide the general public
SUMMARY:
VerDate Mar<15>2010
20:39 May 02, 2011
Jkt 223001
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: Representative
Payee Report (CM–623), Representative
Payee Report, Short Form (CM–623S)
and Physician’s/Medical Officer’s
Statement (CM–787). A copy of the
proposed information collection request
can be obtained by contacting the office
listed below in the ADDRESSES section of
this Notice.
DATES: Written comments must be
submitted to the office listed in the
ADDRESSES section below on or before
July 5, 2011.
ADDRESSES: Mr. Vincent Alvarez, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0372,
fax (202) 693–1447, E-mail
Alvarez.Vincent@dol.gov. Please use
only one method of transmission for
comments (mail, fax, or E-mail).
SUPPLEMENTARY INFORMATION:
I. Background: The Division of Coal
Mine Workers’ Compensation
PO 00000
Frm 00072
Fmt 4703
Sfmt 4703
administers the Black Lung Benefits Act
(30 U.S.C. 901 et seq.), which provides
benefits to coal miners totally disabled
due to pneumoniosis, and their
surviving dependents. The CM–623,
Representative Payee Report is used to
collect expenditure data regarding the
disbursement of the beneficiary’s
benefits by the representative payee to
assure that the beneficiary’s needs are
being met. The CM–623S,
Representative Payee—Short Form, is a
shortened version of the CM–623 that is
used when the representative payee is a
family member residing with the
beneficiary. The CM–787, Physician’s/
Medical Officer’s Statement is used to
gather information from the
beneficiary’s physician about the
capability of the beneficiary to manage
monthly benefits. This form is used by
OWCP to determine if it is in the
beneficiary’s best interest to have his/
her benefits managed by another party.
The regulatory authority for collecting
this information is in 20 CFR 725.506,
510, 511, and 513. This information
collection is currently approved for use
through September 30, 2011.
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
E:\FR\FM\03MYN1.SGM
03MYN1
24920
Federal Register / Vol. 76, No. 85 / Tuesday, May 3, 2011 / Notices
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
Form
other forms of information technology,
e.g., permitting electronic submissions
of responses.
III. Current Actions: The Department
of Labor seeks the approval for the
extension of this currently-approved
information collection in order to carry
out its responsibility to administer the
Black Lung Benefits Act.
Agency: Office of Workers’
Compensation Programs.
Type of Review: Extension.
Time to complete
Title: Representative Payee Report
(CM–623), Representative Payee Report,
Short Form (CM–623S) and Physician’s/
Medical Officer’s Statement (CM–787).
OMB Number: 1240–0020.
Agency Number: CM–623, CM–623S
and CM–787.
Affected Public: Individuals or
households, Business or other for-profit
and Not-for-profit institutions.
Number of
respondents
Frequency of response
Number of
responses
Hours burden
CM–623 .........................................
CM–623S ......................................
CM–787 .........................................
90
10
15
Annually ...............................
Annually ...............................
Once .....................................
900
100
1,100
900
100
1,100
1,350
17
275
Totals .....................................
............................
..............................................
2,100
2,100
1,642
Total Respondents: 2,100.
Total Annual Responses: 2,100.
Average Time per Response: 46.9
minutes.
Estimated Total Burden Hours: 1,642.
Frequency: On occasion.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $0.
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.
Dated: April 27, 2011.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2011–10611 Filed 5–2–11; 8:45 am]
BILLING CODE 4510–CK–P
NATIONAL ARCHIVES AND RECORDS
ADMINISTRATION
Agency Information Collection
Activities: Proposed Collection;
Comment Request; Generic Clearance
for the Collection of Qualitative
Feedback on Agency Service Delivery
National Archives and Records
Administration.
ACTION: Notice and request for
comments.
srobinson on DSKHWCL6B1PROD with NOTICES
AGENCY:
As part of a Federal
Government-wide effort to streamline
the process to seek feedback from the
public on service delivery, we are
seeking comment on the development of
the following proposed Generic
Information Collection Request (Generic
ICR): ‘‘Generic Clearance for the
SUMMARY:
VerDate Mar<15>2010
20:39 May 02, 2011
Jkt 223001
Collection of Qualitative Feedback on
Agency Service Delivery’’ for approval
under the Paperwork Reduction Act
(PRA) (44 U.S.C. 3501 et seq.). This
notice announces our intent to submit
this collection to OMB for approval and
solicits comments on specific aspects
for the proposed information collection.
DATES: Consideration will be given to all
comments received by July 5, 2011.
ADDRESSES: Submit comments by one of
the following methods:
• E-mail: tamee.fechhelm@nara.gov.
• Fax: (301) 713–7409.
Comments submitted in response to
this notice may be made available to the
public through relevant Web sites. For
this reason, please do not include in
your comments information of a
confidential nature, such as sensitive
personal information or proprietary
information. If you send an e-mail
comment, your e-mail address will be
automatically captured and included as
part of the comment that is placed in the
public docket and made available on the
Internet. Please note that responses to
this public comment request containing
any routine notice about the
confidentiality of the communication
will be treated as public comments that
may be made available to the public
notwithstanding the inclusion of the
routine notice.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information or
copies of the proposed information
collection and supporting statement
should be directed to Tamee Fechhelm
at telephone number 301–713–1694, or
fax number 301–713–7409.
SUPPLEMENTARY INFORMATION: Title:
Generic Clearance for the Collection of
Qualitative Feedback on Agency Service
Delivery.
PO 00000
Frm 00073
Fmt 4703
Sfmt 4703
Abstract: The proposed information
collection activity provides a means to
garner qualitative customer and
stakeholder feedback in an efficient,
timely manner, in accordance with the
Administration’s commitment to
improving service delivery. By
qualitative feedback we mean
information that provides useful
insights on perceptions and opinions,
but are not statistical surveys that yield
quantitative results that can be
generalized to the population of study.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative and
actionable communications between the
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.
The solicitation of feedback will target
areas such as: Timeliness,
appropriateness, accuracy of
information, courtesy, efficiency of
service delivery, and resolution of
issues with service delivery. Responses
will be assessed to plan and inform
efforts to improve or maintain the
quality of service offered to the public.
If this information is not collected, vital
feedback from customers and
stakeholders on the Agency’s services
will be unavailable.
The Agency will only submit a
collection for approval under this
generic clearance if it meets the
following conditions:
• The collections are voluntary;
E:\FR\FM\03MYN1.SGM
03MYN1
]]>Agencies
[Federal Register Volume 76, Number 85 (Tuesday, May 3, 2011)]
[Notices]
[Pages 24919-24920]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-10611]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Coal Mine Workers' Compensation Proposed Renewal of
Existing Collection; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a pre-clearance
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: Representative Payee
Report (CM-623), Representative Payee Report, Short Form (CM-623S) and
Physician's/Medical Officer's Statement (CM-787). A copy of the
proposed information collection request can be obtained by contacting
the office listed below in the ADDRESSES section of this Notice.
DATES: Written comments must be submitted to the office listed in the
ADDRESSES section below on or before July 5, 2011.
ADDRESSES: Mr. Vincent Alvarez, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0372, fax (202) 693-1447, E-mail Alvarez.Vincent@dol.gov.
Please use only one method of transmission for comments (mail, fax, or
E-mail).
SUPPLEMENTARY INFORMATION:
I. Background: The Division of Coal Mine Workers' Compensation
administers the Black Lung Benefits Act (30 U.S.C. 901 et seq.), which
provides benefits to coal miners totally disabled due to pneumoniosis,
and their surviving dependents. The CM-623, Representative Payee Report
is used to collect expenditure data regarding the disbursement of the
beneficiary's benefits by the representative payee to assure that the
beneficiary's needs are being met. The CM-623S, Representative Payee--
Short Form, is a shortened version of the CM-623 that is used when the
representative payee is a family member residing with the beneficiary.
The CM-787, Physician's/Medical Officer's Statement is used to gather
information from the beneficiary's physician about the capability of
the beneficiary to manage monthly benefits. This form is used by OWCP
to determine if it is in the beneficiary's best interest to have his/
her benefits managed by another party. The regulatory authority for
collecting this information is in 20 CFR 725.506, 510, 511, and 513.
This information collection is currently approved for use through
September 30, 2011.
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
[[Page 24920]]
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 extension of this currently-approved information collection in
order to carry out its responsibility to administer the Black Lung
Benefits Act.
Agency: Office of Workers' Compensation Programs.
Type of Review: Extension.
Title: Representative Payee Report (CM-623), Representative Payee
Report, Short Form (CM-623S) and Physician's/Medical Officer's
Statement (CM-787).
OMB Number: 1240-0020.
Agency Number: CM-623, CM-623S and CM-787.
Affected Public: Individuals or households, Business or other for-
profit and Not-for-profit institutions.
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Number of
Form Time to complete Frequency of response respondents responses Hours burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
CM-623........................................ 90 Annually........................ 900 900 1,350
CM-623S....................................... 10 Annually........................ 100 100 17
CM-787........................................ 15 Once............................ 1,100 1,100 275
------------------
Totals.................................... ................ ................................ 2,100 2,100 1,642
--------------------------------------------------------------------------------------------------------------------------------------------------------
Total Respondents: 2,100.
Total Annual Responses: 2,100.
Average Time per Response: 46.9 minutes.
Estimated Total Burden Hours: 1,642.
Frequency: On occasion.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
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.
Dated: April 27, 2011.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2011-10611 Filed 5-2-11; 8:45 am]
BILLING CODE 4510-CK-P
