Proposed Collection; Comment Request
[Notices] [12/21/2001]
Proposed Collection; Comment Request
[12/21/2001]
Volume 66, Number 246, Page 65996
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DEPARTMENT OF LABOR
Employment Standards Administration
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, 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) [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 Employment Standards Administration is soliciting
comments concerning the following forms: Miner's Claim for Benefits
Under the Black Lung Benefits Act (CM-911), Employment History (CM-
911a); and Miner Medical Reimbursement Form (CM-915).
DATES: Written comments must be submitted to the office listed in the
addressee section below within February 19, 2002.
ADDRESSES: Ms. Patricia A. Forkel, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0339 (this is not a toll-free number), fax (202) 693-1451,
EMail pforkel@fenix2.dol-esa.gov.
SUPPLEMENTARY INFORMATION:
I. Background
The Black Lung Benefits Act of 1977, as amended, 30 U.S.C. 901 et.
seq., provides for the payment of benefits to coal miners who are
totally disabled by black lung disease, and to certain of their
survivors. The CM-911 is the application form for benefits. The CM-
911a, which is completed along with the CM-911, renders a complete
history of employment and is used to establish employment criteria for
benefit eligibility. Under the program, miners are eligible for
reimbursement of out-of-pocket medical expenses for treatment and for
medical expenses incurred in the development of a claim. The CM-915 is
used to request such reimbursement.
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 of the extension of this
information collection in order to carry out its responsibility to
determine eligibility for black lung benefits.
Type of Review: Extension.
Agency: Employment Standards Administration.
Titles: Miner's Claim for Benefits Under the Black Lung Benefits
Act; Employment History; Miner Medical Reimbursement Form.
OMB Number: 1215-0052.
Agency Numbers: CM-911, CM-911a, CM-915.
Affected Public: Individuals or households; Businesses or other
for-profit.
Frequency: On occasion.
Total Respondents/Responses: 20,200.
Estimated Total Burden Hours: 9,116.
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Respondents/ Time per Burden
Form Hours Responses response hours
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CM-911...................... 4,800 45 min......... 3,600
CM-911a..................... 5,900 40 min......... 3,933
CM-915...................... 9,500 10 min......... 1,583
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Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $4,171.
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: December 14, 2001.
Margaret J. Sherrill,
Chief, Branch of Management Review and Internal Control, Division of
Financial Management, Office of Management, Administration and
Planning, Employment Standards Administration.
[FR Doc. 01-31432 Filed 12-20-01; 8:45 am]
BILLING CODE 4510-CK-P
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