[Federal Register Volume 61, Number 176 (Tuesday, September 10, 1996)]
[Notices]
[Page 47772]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-23051]



[[Page 47772]]

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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

September 3, 1996.
    The Department of Labor (DOL) has submitted the following public 
information collection requests (ICRs) to the Office of Management and 
Budget (OMB) for review and approval in accordance with the Paperwork 
Reduction Act of 1995 (P.L. 104-13, 44 U.S.C. Chapter 35). Copies of 
these individual ICRs, with applicable supporting documentation, may be 
obtained by calling the Department of Labor Acting Departmental 
Clearance Officer, Theresa M. O'Malley ({202} 219-5095). Individuals 
who use a telecommunications device for the deaf (TTY/TDD) may call 
{202} 219-4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday 
through Friday.
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for (BLS/DM/ESA/ETA/OAW/MSHA/OSHA/PWBA/
VETS), Office of management and Budget, Room 10235, Washington, DC 
20503 ({202} 395-7316), within 30 days from the date of this 
publication in the Federal Register.
    The OMB 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 
submission of responses.
    Agency: Employment Standards Administration.
    Title: Certificate of Medical Necessity.
    OMB Number: 1215-0113.
    Agency Number: CM-893.
    Frequency: On occasion.
    Affected Public: Business or other-for-profit; Not-for-profit 
institutions.
    Number of Respondents: 7,000.
    Estimated Time per Response: 40 minutes.
    Total Burden Hours: 2,799.
    Total Respondent Cost (capital/startup): 0.
    Total Respondent Cost (operating and maintenance): 0.
    Description: Form Cm-893, Certificate of Medical Necessity, is 
completed by the miner's doctor and is used by the Division of Coal 
Miners Workers' Compensation (DCMWC) to determine if the miner meets 
the specific impairment standard to quality for durable medical 
equipment, home nursing care and/or pulmonary rehabilitation. Without 
the information provided, the DCMWC could not carry out its 
responsibility to determine eligibility for black lung medical 
benefits.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 96-23051 Filed 9-9-96; 8:45 am]
BILLING CODE 4510-27-M