Proposed Collection; Comment Request
[10/25/2004]
Volume 69, Number 205, Page 62301-62302
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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 for the following medical
reports: CM-933, Roentgenographic Interpretation; CM-933b,
Roentgenographic Quality Rereading; CM-988, Medical History and
Examination for Coal Mine Workers' Pneumoconiosis; CM-1159, Report of
Arterial Blood Gas Study; and CM-2907, Report of Ventilatory Study. 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 December 27, 2004.
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 bell.hazel@dol.gov. Please
use only one method of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
I. Background
The Black Lung Act Benefits Act of 1977 as amended, 20 U.S.C. 901
et. seq. and 20 CFR 718.102 set forth criteria for the administration
and interpretation of x-rays. When a miner applies for benefits, the
Division of Coal Mine Workers' Compensation (DCMWC) is required to
schedule a series of four diagnostic tests to help establish
eligibility for black lung benefits. Each of the diagnostic tests has
its own form that sets forth the medical results. The forms are: CM-
933, Roentgenographic Interpretation; CM-933b, Roentgenographic Quality
Rereading; CM-988, Medical History and Examination for Coal Mine
Workers' Pneumoconiosis; CM-1159, Report of Arterial Blood Gas Study;
and CM-2907, Report of Ventilatory Study. This information collection
is currently approved for use through April 30, 2005.
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 this information in
order to carry out its responsibility to determine eligibility for
black lung benefits.
Type of Review: Revision.
Agency: Employment Standards Administration.
Title: CM-933, Roentgenographic Interpretation; CM-933b,
Roentgenographic Quality Rereading; CM-988, Medical History and
Examination for Coal Mine Workers' Pneumoconiosis; CM-1159, Report of
Arterial Blood Gas Study; and CM-2907, Report of Ventilatory Study.
OMB Number: 1215-0090.
Agency Number: CM-933, CM-933b, CM-988, CM-1159 and CM-2907.
[[Page 62302]]
Affected Public: Business or other for-profit; Not-for-profit
institution.
Total Respondents: 17,500.
Total Annual responses: 17,500.
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Number of Annual Per response Total burden
Form respondents responses (in minutes) hours
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CM-933.......................................... 3,500 3,500 5 292
CM-933b......................................... 3,500 3,500 3 175
CM-988.......................................... 3,500 3,500 30 1,750
CM-1159......................................... 3,500 3,500 15 875
CM-2907......................................... 3,500 3,500 20 1,167
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Totals...................................... 17,500 17,500 .............. 4,259
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Estimated Total Burden Hours: 4,259.
Frequency: On occasion.
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: October 19, 2004.
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. 04-23802 Filed 10-22-04; 8:45 am
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