Division of Coal Mine Workers' Compensation Proposed Collection; Comment Request, 29219-29220 [2014-11814]

Download as PDF 29219 Federal Register / Vol. 79, No. 98 / Wednesday, May 21, 2014 / Notices 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 Benefit’s 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 21, 2014. ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave. NW., Room S–3201, Washington, DC 20210, telephone (202) 693–0701, fax (202) 693–1449, Email Ferguson.yoon@dol.gov. Please use only one method of transmission for comments (mail, fax, or Email). 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 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 October 31, 2014. 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 Time to complete Form Frequency of response 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 Benefit’s 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 Number of responses Hours burden 45 40 once .................................................. once .................................................. 5,000 6,000 5,000 6,000 3,750 4,000 Totals ......................................... mstockstill on DSK4VPTVN1PROD with NOTICES CM–911 ............................................. CM–911A .......................................... ........................ ........................................................... 11,000 11,000 7,750 Total Respondents: 11,000. Total Annual Responses: 11,000. Average Time per Response: 42 minutes. Estimated Total Burden Hours: 7,750. Frequency: On occasion. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/ maintenance): $2,058.00. 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: May 14, 2014. Yoon Ferguson, Agency Clearance Officer, Office of Workers’ Compensation Programs, U.S. Department of Labor. [FR Doc. 2014–11813 Filed 5–20–14; 8:45 am] BILLING CODE 4510–CK–P DEPARTMENT OF LABOR Office of Workers’ Compensation Programs Division of Coal Mine Workers’ Compensation Proposed Collection; Comment Request ACTION: Notice. The Department of Labor, as part of its continuing effort to reduce SUMMARY: VerDate Mar<15>2010 17:42 May 20, 2014 Jkt 232001 PO 00000 Frm 00063 Fmt 4703 Sfmt 4703 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 E:\FR\FM\21MYN1.SGM 21MYN1 29220 Federal Register / Vol. 79, No. 98 / Wednesday, May 21, 2014 / Notices 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 21, 2014. ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave. NW., Room S–3201, Washington, DC 20210, telephone (202) 693–0701, fax (202) 693–1449, Email Ferguson.yoon@dol.gov. Please use only one method of transmission for comments (mail, fax, or Email). 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 October 31, 2014. 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; Time to complete Frequency of response CM–623 ............................................. CM–623S .......................................... CM–787 ............................................. Totals ......................................... mstockstill on DSK4VPTVN1PROD with NOTICES Form 90 10 15 ........................ • 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. Annually ............................................ Annually ............................................ Once ................................................. ........................................................... 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: May 14, 2014. Yoon Ferguson, Agency Clearance Officer, Office of Workers’ Compensation Programs, US Department of Labor. [FR Doc. 2014–11814 Filed 5–20–14; 8:45 am] BILLING CODE 4510–CK–P VerDate Mar<15>2010 17:42 May 20, 2014 Jkt 232001 NATIONAL SCIENCE FOUNDATION Agency Information Collection Activities: Proposed Collection; Comment Request National Science Foundation. Notice and request for comments. AGENCY: ACTION: Under the Paperwork Reduction Act of 1995, Pub. L. 104–13 (44 U.S.C. 3501 et seq.), and as part of its continuing effort to reduce paperwork and respondent burden, the National Science Foundation (NSF) is inviting the general public or other Federal agencies to comment on this proposed continuing information collection. The NSF will publish periodic summaries of the proposed projects. Comments: Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper SUMMARY: PO 00000 Frm 00064 Fmt 4703 Sfmt 4703 Number of respondents 900 100 1,100 2,100 Number of responses 900 100 1,100 2,100 Hours burden 1,350 17 275 1642 performance of the functions of the Foundation, including whether the information will have practical utility; (b) the accuracy of the Foundation’s estimate of the burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on those who are to respond, including through the use of automated collection techniques or other forms of information technology. Written comments on this notice must be received by July 21, 2014, to be assured consideration. Comments received after that date will be considered to the extent practicable. Send comments to address below. FOR FURTHER INFORMATION CONTACT: Ms. Suzanne H. Plimpton, Reports Clearance Officer, National Science Foundation, 4201 Wilson Boulevard, Suite 1265, DATES: E:\FR\FM\21MYN1.SGM 21MYN1

Agencies

[Federal Register Volume 79, Number 98 (Wednesday, May 21, 2014)]
[Notices]
[Pages 29219-29220]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-11814]

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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs

Division of Coal Mine Workers' Compensation Proposed 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

[[Page 29220]]

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 21, 2014.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0701, fax (202) 693-1449, Email Ferguson.yoon@dol.gov. Please
use only one method of transmission for comments (mail, fax, or Email).

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
October 31, 2014.

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: 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.

----------------------------------------------------------------------------------------------------------------
Time to Frequency of Number of Number of
Form complete 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 1642
----------------------------------------------------------------------------------------------------------------

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: May 14, 2014.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US
Department of Labor.
[FR Doc. 2014-11814 Filed 5-20-14; 8:45 am]
BILLING CODE 4510-CK-P

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