Information Collection Request; Submission for OMB Review, 64936 [2019-25449]
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Federal Register / Vol. 84, No. 227 / Monday, November 25, 2019 / Notices
725.535 requires that DOL Black Lung
benefit payments to a beneficiary for
any month be reduced by any other
payments of state or federal benefits for
workers’ compensation due to
pneumoconiosis. See 30 U.S.C. 932(g).
To ensure compliance with this
mandate, the Office of Workers’
Compensation Programs’ Division of
Coal Mine Workers’ Compensation must
collect information regarding the status
of any state or Federal workers’
compensation claim, including dates of
payments, weekly or lump sum amounts
paid, and other fees or expenses paid
out for this award, such as attorney fees
and related expenses associated with
pneumoconiosis. Form CM–905 is used
to request the amount of those workers’
compensation benefits. This information
collection is currently approved for use
through February 29, 2020. 30 U.S.C.
901 and 20 CFR 725.535 authorizes this
information collection.
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 the OMB
under the PRA approves it 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 that does not display a
valid Control Number. See 5 CFR
1320.5(a) and 1320.6.
Interested parties are encouraged to
provide comments to the contact shown
in the ADDRESSES section. Written
comments will receive consideration,
and summarized and included in the
request for OMB approval of the final
ICR. In order to help ensure appropriate
consideration, comments should
mention 1240–0032.
Submitted comments will also be a
matter of public record for this ICR and
posted on the internet, without
redaction. The DOL encourages
commenters not to include personally
identifiable information, confidential
business data, or other sensitive
statements/information in any
comments.
The DOL 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,
VerDate Sep<11>2014
17:31 Nov 22, 2019
Jkt 250001
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: DOL–OWCP.
Type of Review: Extension.
Title of Collection: Request for State
or Federal Workers’ Compensation
Information.
Form: Request for State or Federal
Workers’ Compensation Information,
CM–905.
OMB Control Number: 1240–0032.
Affected Public: Federal government;
State, Local, or Tribal Government.
Estimated Number of Respondents:
6,000.
Frequency: Every new claim.
Total Estimated Annual Responses:
6,000.
Estimated Average Time per
Response: 15 minutes.
Estimated Total Annual Burden
Hours: 1,500 hours.
Total Estimated Annual Other Cost
Burden: $3,480.
Authority: 30 U.S.C. 901 and 20 CFR
725.535.
Dated: October 10, 2019.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2019–25460 Filed 11–22–19; 8:45 am]
BILLING CODE 4510–CK–P
PEACE CORPS
Information Collection Request;
Submission for OMB Review
Peace Corps.
30-Day notice and request for
comments.
AGENCY:
ACTION:
The Peace Corps will be
submitting the following information
collection request to the Office of
Management and Budget (OMB) for
review and approval. The purpose of
this notice is to allow 30 days for public
comment in the Federal Register
preceding submission to OMB.
DATES: Submit comments on or before
December 26, 2019.
ADDRESSES: Comments should be
addressed to Virginia Burke, FOIA/
Privacy Act Officer. Virginia Burke can
be contacted by telephone at 202–692–
SUMMARY:
PO 00000
Frm 00117
Fmt 4703
Sfmt 4703
1887 or email at pcfr@peacecorps.gov.
Email comments must be made in text
and not in attachments.
FOR FURTHER INFORMATION CONTACT:
Virginia Burke, FOIA/Privacy Act
Officer. Virginia Burke can be contacted
by telephone at 202–692–1887 or email
at pcfr@peacecorps.gov.
SUPPLEMENTARY INFORMATION:
Title: Medical Documentation Request
Form.
OMB Control Number: 0420–****.
Type of Request: New.
Affected Public: Individuals.
Respondents Obligation to Reply:
Voluntary.
Burden to the Public:
Estimated burden (hours) of the
collection of information:
a. Number of respondents: 1,000.
b. Frequency of response: 1 time.
c. Completion time: 10 minutes.
d. Annual burden hours: 200 hours.
General Description of Collection: The
Peace Corps uses the Medical
Documentation Request Form to collect
essential information from medical
providers and staff to facilitate access of
accommodations as required by Section
504 of the Rehabilitation Act. Data
collected will be used to validate
accommodation needs. These forms are
the first documented point of contact
between the Peace Corps and its
applicants or employees who are in
need of accommodations.
Request for Comment: Peace Corps
invites comments on whether the
proposed collections of information are
necessary for proper performance of the
functions of the Peace Corps, including
whether the information will have
practical use; the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the information
to be collected; and, ways to minimize
the burden of the collection of
information on those who are to
respond, including through the use of
automated collection techniques, when
appropriate, and other forms of
information technology.
This notice is issued in Washington, DC,
on November 18, 2019.
Virginia Burke,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2019–25449 Filed 11–22–19; 8:45 am]
BILLING CODE 6051–01–P
PEACE CORPS
Information Collection Request;
Submission for OMB Review
Peace Corps.
30-Day notice and request for
comments.
AGENCY:
ACTION:
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[Federal Register Volume 84, Number 227 (Monday, November 25, 2019)]
[Notices]
[Page 64936]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-25449]
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PEACE CORPS
Information Collection Request; Submission for OMB Review
AGENCY: Peace Corps.
ACTION: 30-Day notice and request for comments.
-----------------------------------------------------------------------
SUMMARY: The Peace Corps will be submitting the following information
collection request to the Office of Management and Budget (OMB) for
review and approval. The purpose of this notice is to allow 30 days for
public comment in the Federal Register preceding submission to OMB.
DATES: Submit comments on or before December 26, 2019.
ADDRESSES: Comments should be addressed to Virginia Burke, FOIA/Privacy
Act Officer. Virginia Burke can be contacted by telephone at 202-692-
1887 or email at [email protected]. Email comments must be made in
text and not in attachments.
FOR FURTHER INFORMATION CONTACT: Virginia Burke, FOIA/Privacy Act
Officer. Virginia Burke can be contacted by telephone at 202-692-1887
or email at [email protected].
SUPPLEMENTARY INFORMATION:
Title: Medical Documentation Request Form.
OMB Control Number: 0420-****.
Type of Request: New.
Affected Public: Individuals.
Respondents Obligation to Reply: Voluntary.
Burden to the Public:
Estimated burden (hours) of the collection of information:
a. Number of respondents: 1,000.
b. Frequency of response: 1 time.
c. Completion time: 10 minutes.
d. Annual burden hours: 200 hours.
General Description of Collection: The Peace Corps uses the Medical
Documentation Request Form to collect essential information from
medical providers and staff to facilitate access of accommodations as
required by Section 504 of the Rehabilitation Act. Data collected will
be used to validate accommodation needs. These forms are the first
documented point of contact between the Peace Corps and its applicants
or employees who are in need of accommodations.
Request for Comment: Peace Corps invites comments on whether the
proposed collections of information are necessary for proper
performance of the functions of the Peace Corps, including whether the
information will have practical use; the accuracy of the agency's
estimate of the burden of the proposed collection of information,
including the validity of the information to be collected; and, ways to
minimize the burden of the collection of information on those who are
to respond, including through the use of automated collection
techniques, when appropriate, and other forms of information
technology.
This notice is issued in Washington, DC, on November 18, 2019.
Virginia Burke,
FOIA/Privacy Act Officer, Management.
[FR Doc. 2019-25449 Filed 11-22-19; 8:45 am]
BILLING CODE 6051-01-P
