[Federal Register Volume 79, Number 98 (Wednesday, May 21, 2014)]
[Notices]
[Pages 29218-29219]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11813]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Coal Mine Workers' Compensation; Proposed Collection;
Comment Request
ACTION: Notice.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden,
[[Page 29219]]
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 the proposed collection: Miner's Claim
for Benefits under the Black Lung Benefit's Act (CM-911) and Employment
History (CM-911A). 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 July 21, 2014.
ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0701, fax (202) 693-1449, Email [email protected]. Please
use only one method of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
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. A miner who applies for black lung
benefits must complete the CM-911 (application form). The completed
form gives basic identifying information about the applicant and is the
beginning of the development of the black lung claim. The applicant
must complete a CM-911a at the same time the black lung application
form is submitted. This form when completed renders a complete history
of employment and helps to establish if the miner currently or formerly
worked in the nation's coal mines. The person filing for benefits must
have worked in the nation's coal mines or be a survivor of a coal miner
as described under Title IV of the Federal Mine Safety and Health Act
of 1977, as amended, in order for benefits to be pursued. This
information collection is currently approved for use through October
31, 2014.
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 carry out its responsibility to administer the Black Lung
Benefits Act.
Agency: Office of Workers' Compensation Programs.
Type of Review: Extension.
Title: Miner's Claim for Benefits under the Black Lung Benefit's
Act (CM-911) and Employment History (CM-911A).
OMB Number: 1240-0038.
Agency Number: CM-911 and CM-911A.
Affected Public: Individuals or households.
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Time to Frequency of Number of Number of
Form complete response respondents responses Hours burden
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CM-911........................ 45 once............ 5,000 5,000 3,750
CM-911A....................... 40 once............ 6,000 6,000 4,000
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Totals.................... .............. ................ 11,000 11,000 7,750
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Total Respondents: 11,000.
Total Annual Responses: 11,000.
Average Time per Response: 42 minutes.
Estimated Total Burden Hours: 7,750.
Frequency: On occasion.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $2,058.00.
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.
Dated: May 14, 2014.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2014-11813 Filed 5-20-14; 8:45 am]
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