Proposed Collection; Comment Request [05/07/2003]
Volume 68, Number 88, Page 24508
[[Page 24508]]
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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 proposed collection: Authorization for Release
of Medical Information (CM-936). 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 7, 2003.
ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0418, fax (202) 693-1451, Email hbell@fenix2.dol-esa.gov.
Please use only one method of transmission for comments (mail, fax, or
Email).
SUPPLEMENTARY INFORMATION:
I. Background
The Federal Mine Safety and Health Act of 1977 as amended (30
U.S.C. 923), and 20 CFR 725.405 require that all relevant medical
evidence be considered before a decision can be made regarding a
claimant's eligibility for benefits. The CM-936 is a form that gives
the claimant's consent for release of information required by the
Privacy Act of 1974, and contains information required by medical
institutions and private physicians to enable them to release pertinent
medical information. This information collection is currently approved
for use through November 30, 2003.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
[sbull] 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;
[sbull] 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;
[sbull] Enhance the quality, utility and clarity of the information
to be collected; and
[sbull] 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 approval for the extension of this
information collection in order to obtain the claimant's consent for
medical institutions and private physicians to release medical
information to the Division of Coal Mine Workers' Compensation as
evidence to support their claim for benefits. Failure to gather this
information would inhibit the adjudication of black lung claims because
pertinent medical data would not be considered during the processing.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Authorization for Release of Medical Information.
OMB Number: 1215-0057.
Agency Number: CM-936.
Affected Public: Individual or households.
Total Respondents: 1,500.
Total Responses: 1,500.
Time per Response: 5 minutes.
Frequency: Once.
Estimated Total Burden Hours: 125.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
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 1, 2003.
Bruce Bohanon,
Chief, Branch of Management Review and Internal Control, Division of
Financial Management, Office of Management, Administration and
Planning, Employment Standards Administration.
[FR Doc. 03-11273 Filed 5-6-03; 8:45 am
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