Agency Information Collection Activities; Comment Request; Certification of Medical Necessity, 2255-2256 [2024-00489]
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Federal Register / Vol. 89, No. 9 / Friday, January 12, 2024 / Notices
clearly understood, and the impact of
collection requirements can be properly
assessed.
Benefits due to a DOL Black Lung
beneficiary are paid to a representative
payee on behalf of the beneficiary when
he or she is unable to manage the
benefits due to incapability or
incompetence or because the beneficiary
is a minor. The Representative Payee
Report (Form CM–623) and
Representative Payee Report Short Form
(Form CM–623S) are used to ensure that
benefits paid to a representative payee
are used for the beneficiary’s well-being.
The Physician’s/Medical Officer’s
Statement (Form CM–787) is used to
determine the beneficiary’s capability to
manage monthly black lung benefits.
The Black Lung Benefits Act, 30 U.S.C.
922, authorizes this information
collection. 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 1240–0020.
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,
including the validity of the
methodology and assumptions used.
VerDate Sep<11>2014
00:38 Jan 12, 2024
Jkt 262001
• 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-Office of Workers’
Compensation Programs.
Type of Review: Extension.
Title of Collection: Representative
Payee Report, Representative Payee
Report (Short Form), and Physician’s/
Medical Officer’s Statement.
Form: Representative Payee Report
(CM–623), Representative Payee Report
(Short Form) (CM–623S) and
Physician’s/Medical Officer’s Statement
(CM–787).
OMB Control Number: 1240–0020.
Affected Public: Individuals or
Households.
Estimated Number of Respondents:
282.
Frequency: Occasionally.
Total Estimated Annual Responses:
282.
Estimated Average Time per
Response: 10–90 minutes.
Estimated Total Annual Burden
Hours: 153 hours.
Total Estimated Annual Other Cost
Burden: $192.00.
Authority: 44 U.S.C. 3506(c)(2)(A).
Dated: January 8, 2024.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2024–00490 Filed 1–11–24; 8:45 am]
BILLING CODE 4510–CK–P
DEPARTMENT OF LABOR
Office of the Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request;
Certification of Medical Necessity
Division of Coal Mine Workers’
Compensation.
ACTION: Notice.
AGENCY:
The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled,
‘‘Certification of Medical Necessity’’.
This comment request is part of
continuing Departmental efforts to
reduce paperwork and respondent
burden in accordance with the
SUMMARY:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
2255
Paperwork Reduction Act of 1995
(PRA).
Consideration will be given to all
written comments received by March
12, 2024.
ADDRESSES: A copy of this ICR with
applicable supporting documentation;
including a description of the likely
respondents, proposed frequency of
response, and estimated total burden
may be obtained free by contacting
Anjanette Suggs by telephone at 202–
354–9660 or by email at
suggs.anjanette@dol.gov.
Submit written comments about, or
requests for a copy of, this ICR by mail
or courier to the U.S. Department of
Labor, Office of Workers’ Compensation
Programs, Room S3323, 200
Constitution Avenue NW, Washington,
DC 20210; by email: suggs.anjanette@
dol.gov.
DATES:
FOR FURTHER INFORMATION CONTACT:
Contact Anjanette Suggs by telephone at
202–354–9660 or by email at
suggs.anjanette@dol.gov.
SUPPLEMENTARY INFORMATION: The DOL,
as part of continuing efforts to reduce
paperwork and respondent burden,
conducts a pre-clearance consultation
program to provide the general public
and Federal agencies an opportunity to
comment on proposed and/or
continuing collections of information
before submitting them to the OMB for
final approval. This program helps to
ensure 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 can be properly
assessed.
The Office of Workers’ Compensation
Programs administers the Federal Black
Lung Compensation Program. The Black
Lung Benefits Act (30 U.S.C. 901et seq.)
and its implementing regulations
necessitate this information collection.
The regulations at 20 CFR 725.701 set
out a miner’s eligibility for medical
services and supplies for the length of
time required by the miner’s
pneumoconiosis and related disability.
The regulations require prior approval
before ordering medical equipment
where the purchase price exceeds
$300.00. 20 CFR 725.705. The
regulations also provide for the ongoing
supervision of the miner’s medical care,
including the necessity, character and
sufficiency of care to be furnished; gives
the Office of Workers’ Compensation
Programs authority to request medical
reports; and indicates the right to refuse
payment for failing to submit any report
required. 20 CFR 725.706. To
E:\FR\FM\12JAN1.SGM
12JAN1
khammond on DSKJM1Z7X2PROD with NOTICES
2256
Federal Register / Vol. 89, No. 9 / Friday, January 12, 2024 / Notices
implement the statute and these
regulations, it was necessary to devise a
form to collect the required information.
The form is the CM–893, Certification of
Medical Necessity, which is completed
by the miner’s physician and is used by
the Division of Coal Mine Workers’
Compensation to determine if the miner
meets the standards to qualify for
durable medical equipment and home
nursing. OMB has currently approved
this information collection for use
through May 31, 2024.
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 1240–0024.
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,
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,
VerDate Sep<11>2014
00:38 Jan 12, 2024
Jkt 262001
e.g., permitting electronic submission of
responses.
Agency: DOL-Office of Workers’
Compensation Programs.
Type of Review: Extension.
Title of Collection: Certification of
Medical Necessity.
Form: CM–893.
OMB Control Number: 1240–0024.
Affected Public: Individuals or
households; Business or other for profit,
and not for profit institutions.
Estimated Number of Respondents:
1,500.
Frequency: On occasion.
Total Estimated Annual Responses:
1,500.
Estimated Average Time per
Response: 20–40 minutes.
Estimated Total Annual Burden
Hours: 563 hours.
Total Estimated Annual Other Cost
Burden: $0.0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Dated: January 8, 2024.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2024–00489 Filed 1–11–24; 8:45 am]
BILLING CODE 4510–CK–P
NATIONAL FOUNDATION ON THE
ARTS AND THE HUMANITIES
Institute of Museum and Library
Services
Submission for OMB Review,
Comment Request, Proposed
Collection: Native American Library
Services Basic Grant Program Notice
of Funding Opportunity
Institute of Museum and
Library Services, National Foundation
on the Arts and the Humanities.
ACTION: Submission for OMB Review,
comments request, collection of
information.
AGENCY:
The Institute of Museum and
Library Services (IMLS) announces that
the following information collection has
been submitted to the Office of
Management and Budget (OMB) for
review and approval in accordance with
the Paperwork Reduction Act. 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. This Notice proposes
the renewal of the clearance of the
Native American Library Services Basic
Grant Program, a discretionary grant
program designed to assist Native
SUMMARY:
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
American tribes in improving library
services for their communities. A copy
of the proposed information collection
request can be obtained by contacting
the individual listed below in the FOR
FURTHER INFORMATION CONTACT section of
this Notice.
DATES: Written comments must be
submitted to the office listed in the
ADDRESSES section below on or before
February 14, 2024.
ADDRESSES: Written comments and
recommendations for proposed
information collection requests should
be sent within 30 days of publication of
this Notice to www.reginfo.gov/public/
do/PRAMain. Find this particular
information collection request by
selecting ‘‘Institute of Museum and
Library Services’’ under ‘‘Currently
Under Review;’’ then check ‘‘Only Show
ICR for Public Comment’’ checkbox.
Once you have found this information
collection request, select ‘‘Comment,’’
and enter or upload your comment and
information. Alternatively, please mail
your written comments to Office of
Information and Regulatory Affairs,
Attn.: OMB Desk Officer for Education,
Office of Management and Budget,
Room 10235, Washington, DC 20503, or
call (202) 395–7316.
OMB is particularly interested in
comments that help the agency to:
• 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 submission
of responses).
FOR FURTHER INFORMATION CONTACT:
Jennifer Himmelreich, Senior Program
Officer, Office of Library Services,
Institute of Museum and Library
Services, 955 L’Enfant Plaza North SW,
Suite 4000, Washington DC 20024–
2135. Ms. Himmelreich can be reached
by telephone at 202–653–4797, or by
email at jhimmelreich@imls.gov.
Persons who are deaf or hard of hearing
(TTY users) can contact IMLS at 202–
E:\FR\FM\12JAN1.SGM
12JAN1
Agencies
- DEPARTMENT OF LABOR
- Office of the Workers' Compensation Programs
[Federal Register Volume 89, Number 9 (Friday, January 12, 2024)]
[Notices]
[Pages 2255-2256]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-00489]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of the Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Certification of Medical Necessity
AGENCY: Division of Coal Mine Workers' Compensation.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a proposed extension for the authority to conduct the
information collection request (ICR) titled, ``Certification of Medical
Necessity''. This comment request is part of continuing Departmental
efforts to reduce paperwork and respondent burden in accordance with
the Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
March 12, 2024.
ADDRESSES: A copy of this ICR with applicable supporting documentation;
including a description of the likely respondents, proposed frequency
of response, and estimated total burden may be obtained free by
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at
[email protected].
Submit written comments about, or requests for a copy of, this ICR
by mail or courier to the U.S. Department of Labor, Office of Workers'
Compensation Programs, Room S3323, 200 Constitution Avenue NW,
Washington, DC 20210; by email: [email protected].
FOR FURTHER INFORMATION CONTACT: Contact Anjanette Suggs by telephone
at 202-354-9660 or by email at [email protected].
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to
reduce paperwork and respondent burden, conducts a pre-clearance
consultation program to provide the general public and Federal agencies
an opportunity to comment on proposed and/or continuing collections of
information before submitting them to the OMB for final approval. This
program helps to ensure 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 can be properly assessed.
The Office of Workers' Compensation Programs administers the
Federal Black Lung Compensation Program. The Black Lung Benefits Act
(30 U.S.C. 901et seq.) and its implementing regulations necessitate
this information collection. The regulations at 20 CFR 725.701 set out
a miner's eligibility for medical services and supplies for the length
of time required by the miner's pneumoconiosis and related disability.
The regulations require prior approval before ordering medical
equipment where the purchase price exceeds $300.00. 20 CFR 725.705. The
regulations also provide for the ongoing supervision of the miner's
medical care, including the necessity, character and sufficiency of
care to be furnished; gives the Office of Workers' Compensation
Programs authority to request medical reports; and indicates the right
to refuse payment for failing to submit any report required. 20 CFR
725.706. To
[[Page 2256]]
implement the statute and these regulations, it was necessary to devise
a form to collect the required information. The form is the CM-893,
Certification of Medical Necessity, which is completed by the miner's
physician and is used by the Division of Coal Mine Workers'
Compensation to determine if the miner meets the standards to qualify
for durable medical equipment and home nursing. OMB has currently
approved this information collection for use through May 31, 2024.
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 1240-0024.
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, 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-Office of Workers' Compensation Programs.
Type of Review: Extension.
Title of Collection: Certification of Medical Necessity.
Form: CM-893.
OMB Control Number: 1240-0024.
Affected Public: Individuals or households; Business or other for
profit, and not for profit institutions.
Estimated Number of Respondents: 1,500.
Frequency: On occasion.
Total Estimated Annual Responses: 1,500.
Estimated Average Time per Response: 20-40 minutes.
Estimated Total Annual Burden Hours: 563 hours.
Total Estimated Annual Other Cost Burden: $0.0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Dated: January 8, 2024.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2024-00489 Filed 1-11-24; 8:45 am]
BILLING CODE 4510-CK-P