[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
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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