Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment Request, 47773-47774 [2017-22164]
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47773
Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices
Room S–3323, Washington, DC 20210;
by fax to (202) 354–9647; or by Email to
ferguson.yoon@dol.gov. Please use only
one method of transmission for
comments (mail/delivery, fax, or Email).
Please note that comments submitted
after the comment period will not be
considered.
The
Department of Labor, as part of its
continuing effort to reduce paperwork
and respondent burden, conducts a
preclearance 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).
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
SUPPLEMENTARY INFORMATION:
used when the representative payee is a
family member residing with the
beneficiary. Currently, the
representative payee completes the CM–
623/CM–623S to provide a final
accounting of benefits received on
behalf of the beneficiary. Commonly,
final utilization is due to the death of
the beneficiary or when there is a
change in representative payee
determination. 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 January 31, 2018.
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
Time to
complete
Form
Frequency
of response
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
respondents
Number of
responses
Hours burden
90
10
15
As Needed .....
As Needed .....
Once ..............
300
325
700
300
325
700
450
54
175
Totals ............................................................................
asabaliauskas on DSKBBXCHB2PROD with NOTICES
CM–623 ...............................................................................
CM–623S .............................................................................
CM–787 ...............................................................................
........................
........................
1,325
1,325
679
Total Respondents: 1,325.
Total Annual Responses: 1,325.
Average Time per Response: 31
minutes.
Estimated Total Burden Hours: 679.
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: October 3, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, U.S. Department of
Labor.
[FR Doc. 2017–22163 Filed 10–12–17; 8:45 am]
BILLING CODE 4510–CK–P
VerDate Sep<11>2014
18:05 Oct 12, 2017
Jkt 244001
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Division of Coal Mine Workers’
Compensation; Proposed Extension of
Existing Collection; Comment Request
ACTION:
Notice.
Currently, the Office of
Workers’ Compensation Programs is
soliciting comments concerning the
proposed collection: Report of Changes
that May Affect Your Black Lung
Benefits (CM–929 and CM–929P). A
copy of the proposed information
collection request can be obtained by
contacting the office listed below in the
addresses section of this Notice. This
program helps to ensure that requested
data can be provided in the desired
format, reporting burden (time and
SUMMARY:
PO 00000
Frm 00087
Fmt 4703
Sfmt 4703
financial resources) is minimized,
collection instruments are clearly
understood, and the impact of collection
requirements on respondents can be
properly assessed.
DATES: Written comments must be
submitted by December 12, 2017.
ADDRESSES: You may submit comments
by mail, delivery service, or by hand to
Ms. Yoon Ferguson, U.S. Department of
Labor, 200 Constitution Ave. NW.,
Room S–3323, Washington, DC 20210;
by fax to (202) 354–9647; or by Email to
ferguson.yoon@dol.gov. Please use only
one method of transmission for
comments (mail/delivery, fax, or Email).
Please note that comments submitted
after the comment period will not be
considered.
SUPPLEMENTARY INFORMATION: The
Department of Labor, as part of its
continuing effort to reduce paperwork
and respondent burden, conducts a
E:\FR\FM\13OCN1.SGM
13OCN1
47774
Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices
preclearance 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).
I. Background: The Black Lung
Benefits Act, 30 U.S.C. 901 et seq., 30
U.S.C. 936 and 941, and its
implementing requlations, 20 CFR
725.533(e), authorizes the Division of
Coal Mine Workers’ Compensation
(DCMWC) to collect information
regarding payments of compensation to
coal miners and other beneficiaries.
Once a miner or survivor is found
eligible for benefits, the primary
beneficiary is requested to report certain
changes that may affect benefits. To
ensure that there is a review and update
of all claims paid from the Black Lung
Disability Trust Fund, and from Social
Security cases transferred to the
Department of Labor under the Black
Lung Consolidation of Administrative
Responsibilities Act of 2002, and to help
the beneficiary comply with the need to
report certain changes, the CM–929 is
sent to all appropriate primary
beneficiaries. The CM–929 is printed by
the DCMWC computer system with
information specific to each beneficiary,
such as name, address, number of
dependents on record, state workers’
compensation information, and amount
of current benefits. The beneficiary
reviews the information and certifies
that the information is current, or
provides updated information. The form
includes a warning about potential
consequences of failure to report
changes.
The CM–929P is sent to all
beneficiaries who have a representative
payee. Compensation is paid to a
representative payee on behalf of the
beneficiary when the beneficiary is
unable to manage his/her benefits due to
incapability, incompetence or minority.
The CM–929P is printed by the DCMWC
computer system with information
specific to each beneficiary, such as
name, address, number of dependents
on record, state workers’ compensation
information, and amount of benefits.
Additionally, representative payees are
requested to provide information
regarding the use of benefits received,
where the beneficiary lives, and
ensuring the needs of the beneficiary are
being met. The representative payee
reviews the information specific to the
beneficiary, as well as provides their
accounting of the funds received, and
certifies that all information is current
or provides updated information. The
form includes a warning about potential
consequences of failure to report
changes.
This information collection is
currently approved for use through
December 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;
Time to
complete
(minutes)
Form
Frequency of response
(minutes)
* 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 verify
the accuracy of information in the
beneficiary’s claims file, to identify
changes in the beneficiary’s status, to
ensure that the amount of compensation
being paid the beneficiary is accurate,
and to verify that a representative payee
is using benefits received to meet the
beneficiary’s needs.
Agency: Office of Workers’
Compensation Programs.
Type of Review: Extension.
Title: Report of Changes That May
Affect Your Black Lung Benefits.
OMB Number: 1240–0028.
Agency Number: CM–929 and CM–
929P.
Affected Public: Individuals and Notfor-profit institutions.
Number
of respondents
Number
of responses
Hours burden
5–8
6–80
Annually ............................................
Annually ............................................
26,000
3,380
26,000
3,380
1,999
4,090
Totals .........................................
asabaliauskas on DSKBBXCHB2PROD with NOTICES
CM–929 .............................................
CM–929P ..........................................
12
...........................................................
29,380
29,380
6,089
Total Respondents: 29,380.
Total Annual Responses: 29,380.
Average Time per Response: 12
minutes.
Estimated Total Burden Hours: 6,089.
Frequency: Annually.
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.
VerDate Sep<11>2014
18:05 Oct 12, 2017
Jkt 244001
Dated: October 3, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, US Department of
Labor.
[FR Doc. 2017–22164 Filed 10–12–17; 8:45 am]
BILLING CODE 4510–CK–P
NATIONAL AERONAUTICS AND
SPACE ADMINISTRATION
[Notice 17–075]
Notice of Information Collection
National Aeronautics and
Space Administration (NASA).
AGENCY:
PO 00000
Frm 00088
Fmt 4703
Sfmt 4703
ACTION:
Notice of information collection.
The National Aeronautics and
Space Administration, as part of its
continuing effort to reduce paperwork
and respondent burden, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995.
DATES: All comments should be
submitted within 30 calendar days from
the date of this publication.
ADDRESSES: Interested persons are
invited to submit written comments
SUMMARY:
E:\FR\FM\13OCN1.SGM
13OCN1
]]>Agencies
[Federal Register Volume 82, Number 197 (Friday, October 13, 2017)]
[Notices]
[Pages 47773-47774]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-22164]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Coal Mine Workers' Compensation; Proposed Extension
of Existing Collection; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: Currently, the Office of Workers' Compensation Programs is
soliciting comments concerning the proposed collection: Report of
Changes that May Affect Your Black Lung Benefits (CM-929 and CM-929P).
A copy of the proposed information collection request can be obtained
by contacting the office listed below in the addresses section of this
Notice. 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.
DATES: Written comments must be submitted by December 12, 2017.
ADDRESSES: You may submit comments by mail, delivery service, or by
hand to Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution
Ave. NW., Room S-3323, Washington, DC 20210; by fax to (202) 354-9647;
or by Email to ferguson.yoon@dol.gov. Please use only one method of
transmission for comments (mail/delivery, fax, or Email). Please note
that comments submitted after the comment period will not be
considered.
SUPPLEMENTARY INFORMATION: The Department of Labor, as part of its
continuing effort to reduce paperwork and respondent burden, conducts a
[[Page 47774]]
preclearance 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).
I. Background: The Black Lung Benefits Act, 30 U.S.C. 901 et seq.,
30 U.S.C. 936 and 941, and its implementing requlations, 20 CFR
725.533(e), authorizes the Division of Coal Mine Workers' Compensation
(DCMWC) to collect information regarding payments of compensation to
coal miners and other beneficiaries. Once a miner or survivor is found
eligible for benefits, the primary beneficiary is requested to report
certain changes that may affect benefits. To ensure that there is a
review and update of all claims paid from the Black Lung Disability
Trust Fund, and from Social Security cases transferred to the
Department of Labor under the Black Lung Consolidation of
Administrative Responsibilities Act of 2002, and to help the
beneficiary comply with the need to report certain changes, the CM-929
is sent to all appropriate primary beneficiaries. The CM-929 is printed
by the DCMWC computer system with information specific to each
beneficiary, such as name, address, number of dependents on record,
state workers' compensation information, and amount of current
benefits. The beneficiary reviews the information and certifies that
the information is current, or provides updated information. The form
includes a warning about potential consequences of failure to report
changes.
The CM-929P is sent to all beneficiaries who have a representative
payee. Compensation is paid to a representative payee on behalf of the
beneficiary when the beneficiary is unable to manage his/her benefits
due to incapability, incompetence or minority. The CM-929P is printed
by the DCMWC computer system with information specific to each
beneficiary, such as name, address, number of dependents on record,
state workers' compensation information, and amount of benefits.
Additionally, representative payees are requested to provide
information regarding the use of benefits received, where the
beneficiary lives, and ensuring the needs of the beneficiary are being
met. The representative payee reviews the information specific to the
beneficiary, as well as provides their accounting of the funds
received, and certifies that all information is current or provides
updated information. The form includes a warning about potential
consequences of failure to report changes.
This information collection is currently approved for use through
December 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 extension of this currently-approved information collection in
order to verify the accuracy of information in the beneficiary's claims
file, to identify changes in the beneficiary's status, to ensure that
the amount of compensation being paid the beneficiary is accurate, and
to verify that a representative payee is using benefits received to
meet the beneficiary's needs.
Agency: Office of Workers' Compensation Programs.
Type of Review: Extension.
Title: Report of Changes That May Affect Your Black Lung Benefits.
OMB Number: 1240-0028.
Agency Number: CM-929 and CM-929P.
Affected Public: Individuals and Not-for-profit institutions.
----------------------------------------------------------------------------------------------------------------
Time to Frequency of
Form complete response Number of Number of Hours burden
(minutes) (minutes) respondents responses
----------------------------------------------------------------------------------------------------------------
CM-929........................ 5-8 Annually........ 26,000 26,000 1,999
CM-929P....................... 6-80 Annually........ 3,380 3,380 4,090
---------------------------------------------------------------------------------
Totals.................... 12 ................ 29,380 29,380 6,089
----------------------------------------------------------------------------------------------------------------
Total Respondents: 29,380.
Total Annual Responses: 29,380.
Average Time per Response: 12 minutes.
Estimated Total Burden Hours: 6,089.
Frequency: Annually.
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: October 3, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US
Department of Labor.
[FR Doc. 2017-22164 Filed 10-12-17; 8:45 am]
BILLING CODE 4510-CK-P
