Agency Information Collection Activities; Submission for OMB Review; Comment Request; Miner's Claim for Benefits Under the Black Lung Benefits Act and Employment History, 60532-60533 [2011-25121]
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tkelley on DSKG8SOYB1PROD with NOTICES
60532
Federal Register / Vol. 76, No. 189 / Thursday, September 29, 2011 / Notices
broker-dealer who is a discretionary
plan trustee must provide the
authorizing fiduciary with an annual
report showing separately the
commissions paid to affiliated brokers
and non-affiliated brokers, on both a
total dollar basis and a cents-per-share
basis. These requirements are designed
as appropriate safeguards to ensure the
protection of the plan assets involved in
the transactions, which, in the absence
of the class exemption, would not be
permitted. These safeguards rely on the
prior authorization and monitoring of
the broker-fiduciary’s activities by a
second plan fiduciary that is
independent of the first.
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 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 1210–0059. The current
OMB approval is scheduled to expire on
September 30, 2011; however, it should
be noted that existing information
collection requirements 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 May 24, 2011 (76 FR 30199).
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 help ensure appropriate
consideration, comments should
reference OMB Control Number 1210–
0059. 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;
VerDate Mar<15>2010
15:29 Sep 28, 2011
Jkt 223001
• 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 submission of
responses.
Agency: Employee Benefits Security
Administration.
Title of Collection: Employee
Retirement Income Security Act
Prohibited Transaction Exemption 86–
128.
OMB Control Number: 1210–0059.
Affected Public: Private Sector—
Businesses or other for-profits and notfor-profit institutions.
Total Estimated Number of
Respondents: 27,900.
Total Estimated Number of
Responses: 1,199,880.
Total Estimated Annual Burden
Hours: 63,800.
Total Estimated Annual Other Costs
Burden: $736,800.
Dated: September 22, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011–25044 Filed 9–28–11; 8:45 am]
BILLING CODE 4510–29–P
DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Miner’s
Claim for Benefits Under the Black
Lung Benefits Act and Employment
History
ACTION:
Notice.
The Department of Labor
(DOL) is submitting the Office of
Workers’ Compensation Programs
(OWCP) sponsored information
collection request (ICR) titled, ‘‘Miner’s
Claim for Benefits Under the Black Lung
Benefits Act and Employment History,’’
to the Office of Management and Budget
(OMB) for review and approval for
continued use in accordance with the
Paperwork Reduction Act (PRA) of 1995
(44 U.S.C. 3501 et seq.).
DATES: Submit comments on or before
October 31, 2011.
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
SUMMARY:
PO 00000
Frm 00086
Fmt 4703
Sfmt 4703
may be obtained from the RegInfo.gov
Web site, https://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 toll-free number) or sending an e-mail
to DOL_PRA_PUBLIC@dol.gov.
Submit comments about this request
to the Office of Information and
Regulatory Affairs, Attn: OMB Desk
Officer for the 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 toll-free numbers), e-mail:
OIRA_submission@omb.eop.gov.
For Further Information: Contact
Michel Smyth by telephone at 202–693–
4129 (this is not a toll-free number) or
by e-mail at
DOL_PRA_PUBLIC@dol.gov.
The
Miner’s Claim for Benefits Under the
Black Lung Benefits Act Form (Form
CM–911) is the standard application
form filed by the miner for benefits
under the Black Lung Benefits Act. All
applicants, both miners and survivors,
complete the Employment History
(Form CM–911a) to list the coal miner’s
work history.
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 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 1240–0038. The current
OMB approval is scheduled to expire on
September 30, 2011; however, it should
be noted that existing information
collection requirements 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 May 3, 2011 (76 FR 24918).
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
SUPPLEMENTARY INFORMATION:
E:\FR\FM\29SEN1.SGM
29SEN1
Federal Register / Vol. 76, No. 189 / Thursday, September 29, 2011 / Notices
order to help ensure appropriate
consideration, comments should
reference OMB Control Number 1240–
0038. 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; 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 submission of
responses.
Agency: Office of Workers’
Compensation Programs (OWCP).
Title of Collection: Miner’s Claim for
Benefits Under the Black Lung Benefits
Act and Employment History.
OMB Control Number: 1240–0038.
Affected Public: Individuals or
households.
Total Estimated Number of
Respondents: 9500.
Total Estimated Number of
Responses: 9500.
Total Estimated Annual Burden
Hours: 6667.
Total Estimated Annual Other Costs
Burden: $1771.
Dated: September 26, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011–25121 Filed 9–28–11; 8:45 am]
BILLING CODE 4510–CK–P
DEPARTMENT OF LABOR
tkelley on DSKG8SOYB1PROD with NOTICES
Office of the Secretary
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request;
Representative Payee Report,
Representative Payee Report, Short
Form, Physician’s/Medical Officer’s
Statement
ACTION:
Notice.
The Department of Labor
(DOL) is submitting the Office of
Workers’ Compensation Programs
(OWCP) sponsored information
SUMMARY:
VerDate Mar<15>2010
15:29 Sep 28, 2011
Jkt 223001
collection request (ICR) titled,
‘‘Representative Payee Report,
Representative Payee Report, Short
Form, Physician’s/Medical Officer’s
Statement,’’ to the Office of
Management and Budget (OMB) for
review and approval for continued use
in accordance with the Paperwork
Reduction Act (PRA) of 1995 (44 U.S.C.
3501 et seq.).
DATES: Submit comments on or before
October 31, 2011.
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, https://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 toll-free number) or sending an e-mail
to DOL_PRA_PUBLIC@dol.gov.
Submit comments about this request
to the Office of Information and
Regulatory Affairs, Attn: OMB Desk
Officer for the 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 toll-free numbers), e-mail:
OIRA_submission@omb.eop.gov.
FOR FURTHER INFORMATION CONTACT:
Michel Smyth by telephone at 202–693–
4129 (this is not a toll-free number) or
by e-mail at
DOL_PRA_PUBLIC@dol.gov.
SUPPLEMENTARY INFORMATION: The
Representative Payee Report (Form CM–
623) and Representative Payee Report,
Short Form (Form CM–623S) are used to
ensure that benefits paid to a
representative payee are being used for
the beneficiary’s well-being. The
Physician’s/Medical Officer’s Statement
(Form CM–787) is used to determine the
beneficiary’s capability to manage
monthly Black Lung benefits.
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 valid OMB Control Number.
See 5 CFR 1320.5(a) and 1320.6. The
PO 00000
Frm 00087
Fmt 4703
Sfmt 4703
60533
DOL obtains OMB approval for this
information collection under OMB
Control Number 1240–0020. The current
OMB approval is scheduled to expire on
September 30, 2011; however, it should
be noted that existing information
collection requirements 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 May 3, 2011 (76 FR 24919).
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 help ensure appropriate
consideration, comments should
reference OMB Control Number 1240–
0020. 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; 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 submission of
responses.
Agency: Office of Workers’
Compensation Programs (OWCP).
Title of Collection: Representative
Payee Report, Representative Payee
Report, Short Form, Physician’s/
Medical Officer’s Statement.
OMB Control Number: 1240–0020.
Affected Public: Individuals or
households and private sector—
businesses or other for-profits and notfor-profit institutions.
Total Estimated Number of
Respondents: 2100.
Total Estimated Number of
Responses: 2100.
Total Estimated Annual Burden
Hours: 1642.
Total Estimated Annual Other Costs
Burden: $0.
E:\FR\FM\29SEN1.SGM
29SEN1
]]>Agencies
[Federal Register Volume 76, Number 189 (Thursday, September 29, 2011)]
[Notices]
[Pages 60532-60533]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-25121]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection Activities; Submission for OMB
Review; Comment Request; Miner's Claim for Benefits Under the Black
Lung Benefits Act and Employment History
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (DOL) is submitting the Office of
Workers' Compensation Programs (OWCP) sponsored information collection
request (ICR) titled, ``Miner's Claim for Benefits Under the Black Lung
Benefits Act and Employment History,'' to the Office of Management and
Budget (OMB) for review and approval for continued use in accordance
with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et
seq.).
DATES: Submit comments on or before October 31, 2011.
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, https://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 toll-free number) or
sending an e-mail to DOL_PRA_PUBLIC@dol.gov.
Submit comments about this request to the Office of Information and
Regulatory Affairs, Attn: OMB Desk Officer for the 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 toll-free numbers), e-mail: OIRA_submission@omb.eop.gov.
For Further Information: Contact Michel Smyth by telephone at 202-
693-4129 (this is not a toll-free number) or by e-mail at DOL_PRA_PUBLIC@dol.gov.
SUPPLEMENTARY INFORMATION: The Miner's Claim for Benefits Under the
Black Lung Benefits Act Form (Form CM-911) is the standard application
form filed by the miner for benefits under the Black Lung Benefits Act.
All applicants, both miners and survivors, complete the Employment
History (Form CM-911a) to list the coal miner's work history.
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 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 1240-0038. The current
OMB approval is scheduled to expire on September 30, 2011; however, it
should be noted that existing information collection requirements
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 May 3, 2011 (76 FR 24918).
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
[[Page 60533]]
order to help ensure appropriate consideration, comments should
reference OMB Control Number 1240-0038. 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; 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 submission of responses.
Agency: Office of Workers' Compensation Programs (OWCP).
Title of Collection: Miner's Claim for Benefits Under the Black
Lung Benefits Act and Employment History.
OMB Control Number: 1240-0038.
Affected Public: Individuals or households.
Total Estimated Number of Respondents: 9500.
Total Estimated Number of Responses: 9500.
Total Estimated Annual Burden Hours: 6667.
Total Estimated Annual Other Costs Burden: $1771.
Dated: September 26, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011-25121 Filed 9-28-11; 8:45 am]
BILLING CODE 4510-CK-P
