[Federal Register Volume 64, Number 58 (Friday, March 26, 1999)]
[Notices]
[Pages 14769-14770]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-7472]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

March 23, 1999.
    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 (Pub. L. 104-13, 44 U.S.C. Chapter 35). A copy of 
each individual ICR, with applicable supporting documentation, may be 
obtained by calling the Department of Labor, Acting Departmental 
Clearance Officer, Pauline Perrow ((202) 219-5096 ext. 165) or by E-
Mail to Perrow-P[email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for BLS, DM,

[[Page 14770]]

ESA, ETA, MSHA, OSHA, PWBA, or 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 (ESA).
    Title: Report of Ventilatory Study (CM-907), Roentgenographic 
Interpretation (CM-933 and CM933b), Medical History and Examination for 
Coal Mine Workers' Compensation (CM-988) and Report of Arterial Blood 
Gas Study (CM-1159).
    OMB Number: 1215-0090 (Extension).
    Frequency: On-occasion.
    Affected Public: Business or other for-profit; not-for-profit 
institutions;
    Number of Respondents: 37,800.
    Estimated Time Per Respondent:

CM-907 20 minutes
CM-933 05 minutes
CM-933b 05 minutes
CM-988 30 minutes
CM-1159 15 minutes

    Total Burden Hours: 9,338.
    Total Annualized capital/startup costs: $0.
    Total annual costs (operating/maintaining systems or purchasing 
services): $0.
    Description: CM-907, Report of Ventilatory Study, When a miner 
applies for benefits, the Division of Coal Mine Workers' Compensation 
(DCMWC) schedules a series of diagnostic tests, one of which is a 
ventilatory study. The results of the study can be used to establish 
total disability, a criterion for entitlement. CM-933 & CM-933b, 
Roentgenographic Interpretation Form, This is the form used to record 
the results of diagnostic x-rays to determine the presence of 
pneumoconiosis, a criterion for entitlement.
    CM-988, Report of Physical Examination, provides information 
concerning the physical examination required by DOL to establish the 
presence of pneumoconiosis, total disability, and the causal 
relationship between the miner's coal mine employment and 
pneumoconiosis, all of which are criteria for entitlement.
    CM-1159, Report of Arterial Blood Gas Study. This form was designed 
to set forth the results of the arterial blood gas studies as required 
by the regulations.
    Agency: Employment Standards Administration (ESA).
    Title: Comparability of Current Work to Coal Mine Employment; (2) 
Coal Mine Employment Affidavit; (3) Affidavit of Deceased Miner's 
Condition.
    OMB Number: 1215-0056 (Extension).
    Frequency: On-occasion.
    Affected Public: Individuals and households.
    Number of Respondents: 3,336.
    Estimated Time Per Respondent:

CM-913--30 minutes
CM-918--10 minutes
CM-1093--20 minutes

    Total Burden Hours: 1,618.
    Total Annualized Capital/startup costs: $0.
    Total Annual (operating/maintaining): $1,200.
    Description: CM-913, Comparability of Current Work to Coal Mine 
Employment, This form is used to compare coal mine with non-coal mine 
work. This equipment information, together with medical information, is 
used to establish whether the miner is totally disabled due to black 
lung disease caused by coal mine employment, a criteria for 
entitlement.
    CM-918, Coal Mine Employment Affidavit, used to gather coal mine 
employment evidence only when primary evidence, such as pay stubs, W-2 
forms, employer and union records, and Social Security records are 
unavailable or incomplete.
    CM-1093, Affidavit of Deceased Miners' Condition, an affidavit used 
to record lay medical evidence. It is used in survivor's claims in 
which evidence of the miners' medical condition is insufficient.
Pauline Perrow,
Acting Departmental Clearance Officer.
[FR Doc. 99-7472 Filed 3-25-99; 8:45 am]
BILLING CODE 4510-27-M