[Federal Register Volume 67, Number 45 (Thursday, March 7, 2002)]
[Notices]
[Pages 10436-10437]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-5415]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

February 26, 2002.
    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

[[Page 10437]]

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: Revision of a currently approved collection.
    Agency: Employment Standards Administration (ESA).
    Title: Certification of Funeral Expenses.
    OMB: 1215-0027.
    Affected Public: Business or other for-profit.
    Frequency: On Occasion.
    Number of Annual Respondents: 195.
    Number of Annual Responses: 195.
    Estimated Time Per Response: 15 minutes.
    Total Burden Hours: 49.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operation/maintaining systems or purchasing 
services): $0.
    Description: Section 9(a) of the Longshore and Harbor Workers' 
Compensation Act provides that reasonable funeral expenses not to 
exceed not to exceed $3,000 shall be paid in all compensable death 
cases. Form LS-265 has been provided for use in submitting the funeral 
expenses for payment. The information collected by this form is 
incorporated into a compensation order at the time death benefits are 
ordered paid in a case. It it also used to certify the amount of 
funeral expenses incurred in the case. if the information were not 
collected, payable funeral expenses could not be determined.

    Type of Review: Extension of a currently approved collection.
    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.
    Affected Public: Individuals or households.
    Frequency: On Occasion.
    Responses and Estimated Burdens:

------------------------------------------------------------------------
                                                          Per     Total
                   Form                       Annual   response   burden
                                            responses   (min.)    hours
------------------------------------------------------------------------
CM-913....................................     1,500         30      750
CM-918....................................     6,000         10       17
CM-1093...................................     5,000         20       33
                                           -----------------------------
  Total...................................    26,000   ........      800
------------------------------------------------------------------------

    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $1,200.96.
    Description: The Black Lung Benefits Act of 1977, as amended, 30 
U.S.C. 901 et seq., provides for the payment of benefits to coal miners 
who have contracted black lung disease as a result of coal mine 
employment, and their dependents and survivors. Once a miner has been 
identified as having performed non-coal mine work subsequent to coal 
mine employment, the miner or the miner's survivor is asked to complete 
Form CM-913 to compare coal mine work to non-coal mine work. This 
employment, along with medical information, is used to establish 
whether the miner is totally disabled due to black lung disease caused 
by coal mine employment. Form CM-918 is an 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. Form CM-1093 is an affidavit 
form for recording lay medical evidence, used in survivor's claims in 
which evidence of the miner's medical condition is insufficient. For 
each of these forms (CM-913, CM-918, and CM-1093), the information is 
collected only if needed at the time the claim is received. If the 
information were not collected on these forms, the determination as to 
eligibility for benefits under the Black Lung Benefits Act would be 
severely limited.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 02-5415 Filed 3-6-02; 8:45 am]
BILLING CODE 4510-CF-M