[Federal Register Volume 66, Number 120 (Thursday, June 21, 2001)]
[Notices]
[Page 33272]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-15636]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

June 8, 2001.
    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. To obtain documentation 
contact Marlene Howze at ((202) 219-8904 or Email [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for ESA, 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.
    Type of Review: Extension of a currently approved collection.
    Agency: Employment standards Administration (ESA).
    Title: Survivor's Form for Benefits.
    OMB Number: 1215-0069.
    Affected Public: Individuals or households.
    Frequency: One time.
    Number of Respondents: 2,500.
    Number of Annual Responses: 2,500.
    Estimated Time Per Response: 8 minutes.
    Total Burden Hours: 333.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $740.
    Description: Survivors of Black Lung Act beneficiaries are entitled 
to be considered for benefits under 30 U.S.C. 901 of the Black Lung 
Benefits Act and 20 CFR 725.304. The collection of information is 
required to administer the benefit payment provisions of the Black Lung 
Benefits Act for survivors of deceased miners. Completion of this form 
constitutes the application for benefits by survivors and assists in 
determining the survivor's entitlement to benefits.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 01-15636 Filed 6-20-01; 8:45 am]
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