Information Collection Request; Submission for OMB Review, 64936 [2019-25449]

Download as PDF 64936 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: E:\FR\FM\25NON1.SGM 25NON1

Agencies

[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.

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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