Division of Coal Mine Workers' Compensation Proposed Renewal of Existing Collection; Comment Request, 24918-24919 [2011-10612]
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24918
Federal Register / Vol. 76, No. 85 / Tuesday, May 3, 2011 / Notices
DEPARTMENT OF LABOR
Employment and Training
Administration
Investigations Regarding Certifications
of Eligibility To Apply for Worker
Adjustment Assistance and Alternative
Trade Adjustment Assistance
Petitions have been filed with the
Secretary of Labor under Section 221(a)
of the Trade Act of 1974 (‘‘the Act’’) and
are identified in the Appendix to this
notice. Upon receipt of these petitions,
the Director of the Office of Trade
Adjustment Assistance, Employment
and Training Administration, has
instituted investigations pursuant to
Section 221(a) of the Act.
The purpose of each of the
investigations is to determine whether
the workers are eligible to apply for
adjustment assistance under Title II,
Chapter 2, of the Act. The investigations
will further relate, as appropriate, to the
determination of the date on which total
or partial separations began or
threatened to begin and the subdivision
of the firm involved.
The petitioners or any other persons
showing a substantial interest in the
subject matter of the investigations may
request a public hearing, provided such
request is filed in writing with the
Director, Office of Trade Adjustment
Assistance, at the address shown below,
not later than May 13, 2011.
Interested persons are invited to
submit written comments regarding the
subject matter of the investigations to
the Director, Office of Trade Adjustment
Assistance, at the address shown below,
not later than May 13, 2011.
The petitions filed in this case are
available for inspection at the Office of
the Director, Office of Trade Adjustment
Assistance, Employment and Training
Administration, U.S. Department of
Labor, Room N–5428, 200 Constitution
Avenue, NW., Washington, DC 20210.
Signed at Washington, DC, this 26th day of
April 2011.
Elliott S. Kushner,
Certifying Officer, Office of Trade Adjustment
Assistance.
Appendix
17 TAA PETITIONS INSTITUTED BETWEEN 4/18/11 AND 4/22/11
Subject firm
(petitioners)
Location
JP Morgan (State/One-Stop) ..........................................
International Game Technology (Company) ..................
STK, LLC (Company) .....................................................
Diversey, Inc. (Company) ...............................................
Ceva Logistics (Company) .............................................
Domtar Paper Co LLC (State/One-Stop) .......................
TE Connectivity Ltd. (Company) ....................................
Precision Dynamics Corporation (Company) .................
PSC Industrial (State/One-Stop) ....................................
ASC (Union) ....................................................................
Premier Manufacturing Corporation (Union) ..................
Nexergy (State/One-Stop) ..............................................
Honeywell International (Company) ...............................
Harman (Company) ........................................................
Bestway Inc. (Company) ................................................
Shine Electronics Co, Inc. (Workers) .............................
Ryder Integrated Logistics (Company) ...........................
Lewisville, TX ..............................
Las Vegas, NV ............................
Coconut Creek, FL ......................
Sturtevant, WI .............................
Van Wert, OH .............................
Ashdown, AR ..............................
Fort Mill, SC ................................
Valencia, CA ...............................
Kelso, WA ...................................
Ponca City, OK ...........................
Cleveland, OH .............................
Escondido, CA ............................
Skaneateles Falls, NY ................
Washington, MO .........................
Saint Marys, PA ..........................
Long Island City, NY ...................
Highland Park, MI .......................
TA–W
75314
80111
80112
80113
80114
80115
80116
80117
80118
80119
80120
80121
80122
80123
80124
80125
80126
................
................
................
................
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[FR Doc. 2011–10603 Filed 5–2–11; 8:45 am]
BILLING CODE 4510–FN–P
DEPARTMENT OF LABOR
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
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
srobinson on DSKHWCL6B1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
20:39 May 02, 2011
Jkt 223001
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: Miner’s Claim for
Benefits under the Black Lung Benefits
Act (CM–911) and Employment History
(CM–911A). 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,
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
Date of
institution
04/19/11
04/18/11
04/18/11
04/19/11
04/19/11
04/19/11
04/19/11
04/19/11
04/19/11
04/19/11
04/20/11
04/20/11
04/20/11
04/21/11
04/21/11
04/22/11
04/22/11
Date of
petition
12/09/10
04/12/11
04/15/11
04/15/11
04/18/11
04/18/11
04/18/11
04/18/11
04/18/11
04/12/11
04/11/11
04/19/11
04/20/11
04/18/11
04/20/11
02/07/11
04/21/11
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. A miner who
applies for black lung benefits must
complete the CM–911 (application
form). The completed form gives basic
identifying information about the
applicant and is the beginning of the
development of the black lung claim.
The applicant must complete a CM–
911a at the same time the black lung
application form is submitted. This form
when completed renders a complete
history of employment and helps to
establish if the miner currently or
E:\FR\FM\03MYN1.SGM
03MYN1
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
]]>Agencies
[Federal Register Volume 76, Number 85 (Tuesday, May 3, 2011)]
[Notices]
[Pages 24918-24919]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-10612]
-----------------------------------------------------------------------
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: Miner's Claim for Benefits
under the Black Lung Benefits Act (CM-911) and Employment History (CM-
911A). 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. A miner who applies for black lung
benefits must complete the CM-911 (application form). The completed
form gives basic identifying information about the applicant and is the
beginning of the development of the black lung claim. The applicant
must complete a CM-911a at the same time the black lung application
form is submitted. This form when completed renders a complete history
of employment and helps to establish if the miner currently or
[[Page 24919]]
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 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 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 Number of
Form Time to complete Frequency of response respondents responses Hours burden
--------------------------------------------------------------------------------------------------------------------------------------------------------
CM-911........................................ 30 once............................ 4,000 4,000 3,000
CM-911A....................................... 40 once............................ 5,500 5,500 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
