Division of Coal Mine Workers' Compensation; Proposed Revision of Existing Collection; Comment Request, 10411-10412 [2017-02808]
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mstockstill on DSK3G9T082PROD with NOTICES
Federal Register / Vol. 82, No. 27 / Friday, February 10, 2017 / Notices
employer in loading, unloading,
repairing, or building a vessel. The Act
provides that reasonable funeral
expenses not to exceed $3,000 shall be
paid in all compensable death cases.
The LS–265 has been provided for use
in submitting the funeral expenses for
payment. This information collection is
currently approved for use through
March 31, 2017.
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 extension of approval
of this information collection in order to
carry out its responsibility to certify the
amount of funeral expenses incurred in
the case.
Agency: Office of Workers’
Compensation Programs.
Type of Review: Extension.
Title: Certification of Funeral
Expenses.
OMB Number: 1240–0040.
Agency Number: LS–265.
Affected Public: Business or other forprofit.
Total Respondents: 75.
Total Annual Responses: 75.
Estimated Total Burden Hours: 19.
Estimated Time per Response: 15
minutes.
Frequency: On occasion.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $39.00.
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.
VerDate Sep<11>2014
18:35 Feb 09, 2017
Jkt 241001
Dated: January 30, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2017–02811 Filed 2–9–17; 8:45 am]
BILLING CODE 4510–CF–P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Division of Coal Mine Workers’
Compensation; Proposed Revision 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
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 its
proposal to extend OMB approval of the
information collection for the following
medical reports: Roentgenographic
Interpretation (CM–933),
Roentgenographic Quality Rereading
(CM–933b), Medical History and
Examination for Coal Mine Workers’
Pneumoconiosis (CM–988), Report of
Arterial Blood Gas Study (CM–1159)
and Report of Ventilatory Study (CM–
2907). 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
April 11, 2017.
ADDRESSES: Ms. Yoon Ferguson, U.S.
Department of Labor, 200 Constitution
Ave. NW., Room S–3201, Washington,
DC 20210, telephone/fax (202) 354–
9647. Email Ferguson.Yoon@dol.gov.
Please use only one method of
transmission for comments (mail, fax, or
Email).
SUPPLEMENTARY INFORMATION:
SUMMARY:
PO 00000
Frm 00084
Fmt 4703
Sfmt 4703
10411
I. Background: The Black Lung
Benefits Act of 1977 as amended, 20
U.S.C. 901 et seq. and 20 CFR 718.102
set forth criteria for the administration
and interpretation of x-rays. When a
miner applies for benefits, the Division
of Coal Mine Workers’ Compensation
(DCMWC) is required to schedule a
series of four diagnostic tests to help
establish eligibility for black lung
benefits. Each of the diagnostic tests has
its own form that sets forth the medical
results. The forms are:
Roentgenographic Interpretation (CM–
933), Roentgenographic Quality
Rereading (CM–933b), Medical History
and Examination for Coal Mine
Workers’ Pneumoconiosis (CM–988),
Report of Arterial Blood Gas Study
(CM–1159), and Report of Ventilatory
Study (CM–2907). This information
collection is currently approved for use
through May 31, 2017
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
Revision 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: Revision.
Title: Roentgenographic Interpretation
(CM–933), Roentgenographic Quality
Rereading (CM–933b), Medical History
and Examination for Coal Mine
Workers’ Pneumoconiosis (CM–988),
Report of Arterial Blood Gas Study
(CM–1159), and Report of Ventilatory
Study (CM–2907).
OMB Number: 1240–0023.
Agency Number: CM–933, CM–933b,
CM–988, CM–1159 and CM–2907.
E:\FR\FM\10FEN1.SGM
10FEN1
10412
Federal Register / Vol. 82, No. 27 / Friday, February 10, 2017 / Notices
Affected Public: Business or other for
profit, and not-for-profit institutions.
Time to
complete
(minutes)
Form
Frequency of response
CM–933 .............................................
CM–933b ...........................................
CM–988 .............................................
CM–1159 ...........................................
CM–2907 ...........................................
5
3
40
15
10
Totals .........................................
........................
Total Respondents: 27,500.
Total Annual Responses: 27,500.
Average Time per Response: 3
minutes–40 minutes.
Estimated Total Burden Hours: 6,693.
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: January 30, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2017–02808 Filed 2–9–17; 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
Office of Workers’
Compensation Programs, Labor.
ACTION: Notice.
AGENCY:
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
mstockstill on DSK3G9T082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:35 Feb 09, 2017
Jkt 241001
occasion
occasion
occasion
occasion
occasion
Number of
responses
Hours burden
...........................................
...........................................
...........................................
...........................................
...........................................
5,500
5,500
5,500
5,500
5,500
5,500
5,500
5,500
5,500
5,500
459
275
3,667
1,375
917
...........................................................
27,500
27,500
6,693
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: Comparability of
Current Work to Coal Mine Employment
(CM–913). 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
April 11, 2017.
ADDRESSES: Ms. Yoon Ferguson, U.S.
Department of Labor, 200 Constitution
Ave. NW., Room S–3201, Washington,
DC 20210, telephone/fax (202) 354–
9647, Email Ferguson.Yoon@dol.gov.
Please use only one method of
transmission for comments (mail, fax, or
Email).
SUPPLEMENTARY INFORMATION:
I. Background: The Black Lung
Benefits Act of 1977, as amended, 30
U.S.C. 901 et seq., provides for the
payment of benefits to coal miners who
are totally disabled by black lung
disease arising out of coal mine
employment, and their dependents and
survivors. Once a miner has been
identified as having performed non-coal
mine work subsequent to coal mine
employment, the miner or the miner’s
survivor is asked to complete a CM–913
to compare coal mine work to non-coal
mine work. This employment
information along with medical
information is used to establish whether
the miner is totally disabled due to
black lung disease caused by coal mine
employment. This information
collection is currently approved for use
through May 31, 2017.
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
PO 00000
Number of
respondents
Frm 00085
Fmt 4703
Sfmt 4703
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
Revision 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: Revision.
Title: Comparability of Current Work
to Coal Mine Employment (CM–913).
OMB Number: 1240–0035.
Agency Number: CM–913.
Affected Public: Individuals or
households.
Total Respondents: 1,650.
Total Annual Responses: 1,650.
Average Time per Response: 40
minutes.
Estimated Total Burden Hours: 1,100.
Frequency: On occasion.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $858.
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.
E:\FR\FM\10FEN1.SGM
10FEN1
Agencies
[Federal Register Volume 82, Number 27 (Friday, February 10, 2017)]
[Notices]
[Pages 10411-10412]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-02808]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Coal Mine Workers' Compensation; Proposed Revision 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 its proposal to extend OMB approval of the
information collection for the following medical reports:
Roentgenographic Interpretation (CM-933), Roentgenographic Quality
Rereading (CM-933b), Medical History and Examination for Coal Mine
Workers' Pneumoconiosis (CM-988), Report of Arterial Blood Gas Study
(CM-1159) and Report of Ventilatory Study (CM-2907). 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 April 11, 2017.
ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone/fax
(202) 354-9647. Email Ferguson.Yoon@dol.gov. Please use only one method
of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
I. Background: The Black Lung Benefits Act of 1977 as amended, 20
U.S.C. 901 et seq. and 20 CFR 718.102 set forth criteria for the
administration and interpretation of x-rays. When a miner applies for
benefits, the Division of Coal Mine Workers' Compensation (DCMWC) is
required to schedule a series of four diagnostic tests to help
establish eligibility for black lung benefits. Each of the diagnostic
tests has its own form that sets forth the medical results. The forms
are: Roentgenographic Interpretation (CM-933), Roentgenographic Quality
Rereading (CM-933b), Medical History and Examination for Coal Mine
Workers' Pneumoconiosis (CM-988), Report of Arterial Blood Gas Study
(CM-1159), and Report of Ventilatory Study (CM-2907). This information
collection is currently approved for use through May 31, 2017
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 Revision 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: Revision.
Title: Roentgenographic Interpretation (CM-933), Roentgenographic
Quality Rereading (CM-933b), Medical History and Examination for Coal
Mine Workers' Pneumoconiosis (CM-988), Report of Arterial Blood Gas
Study (CM-1159), and Report of Ventilatory Study (CM-2907).
OMB Number: 1240-0023.
Agency Number: CM-933, CM-933b, CM-988, CM-1159 and CM-2907.
[[Page 10412]]
Affected Public: Business or other for profit, and not-for-profit
institutions.
----------------------------------------------------------------------------------------------------------------
Time to
Form complete Frequency of Number of Number of Hours burden
(minutes) response respondents responses
----------------------------------------------------------------------------------------------------------------
CM-933........................ 5 occasion........ 5,500 5,500 459
CM-933b....................... 3 occasion........ 5,500 5,500 275
CM-988........................ 40 occasion........ 5,500 5,500 3,667
CM-1159....................... 15 occasion........ 5,500 5,500 1,375
CM-2907....................... 10 occasion........ 5,500 5,500 917
-----------------------------------------------
Totals.................... .............. ................ 27,500 27,500 6,693
----------------------------------------------------------------------------------------------------------------
Total Respondents: 27,500.
Total Annual Responses: 27,500.
Average Time per Response: 3 minutes-40 minutes.
Estimated Total Burden Hours: 6,693.
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: January 30, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2017-02808 Filed 2-9-17; 8:45 am]
BILLING CODE 4510-CK-P