[Federal Register Volume 67, Number 66 (Friday, April 5, 2002)]
[Notices]
[Pages 16439-16441]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-8264]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

March 25, 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 the Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for ESA, Office of Management and 
Budget, Room 10235, Washington, DC 20503

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((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: Miner's Claim for Benefits Under the Black Lung Benefits 
Act; (2) Employment History; (3) Miner Reimbursement Form.
    OMB Number: 1215-0052.
    Affected Public: Individuals or households; Business or other for-
profit.
    Frequency: On Occasion.
    Total Respondents/Responses: 20,200.
    Total Burden Hours: 9,116.

------------------------------------------------------------------------
                                                 Estimated
                                  Respondents/    time per      Burden
              Form                  responses     response      hours
                                                   (min)
------------------------------------------------------------------------
CM-911..........................         4,800           45        3,600
CM-911a.........................         5,900           40        3,933
CM-915..........................         9,500           10        1,583
------------------------------------------------------------------------

    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $4,060.75.
    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 are totally disabled by black lung disease, and to certain 
survivors. The CM-911 is the application for benefits. The CM-911a, 
which is completed along with the CM-911, renders a complete history of 
employment and is used to establish employment criteria for benefit 
eligibility. CM-915 is the standard data collection form used by miner 
payees when requesting reimbursement for black lung related medical 
services. If the information were not collected, the requirement of the 
Act would not be met and the potential for making improper 
reimbursements to the miner payees would increase and, in some cases, 
delay program reimbursements on medical treatment claims.

    Type of Review: Extension of a currently approved collection.
    Agency: Employment Standards Administration (ESA).
    Title: Pre-Hearing Statement.
    OMB Number: 1215-0085.
    Affected Public: Individuals or households; Business or other for-
profit.
    Frequency: On Occasion.
    Number of Respondents: 6,800.
    Number of Annual Responses: 6,800.
    Estimated Time Per Response: 10 minutes.
    Total Burden Hours: 1,088.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $2,595.50.
    Description: Title 20, CFR 702.317 provides for the referral of 
claims under the Longshore and Harbor Workers' Compensation Act. This 
Act provides benefits to workers' injured in maritime employment on the 
navigable waters of the United States or in an adjoining area 
customarily used by an employer in loading, unloading, repairing, or 
building a vessel. The LS-18 is used to refer cases to the Office of 
Administrative Law Judges for formal hearings under the Act. The 
information obtained is used to establish and clarify the issues 
involved and to prepare cases for formal hearings. If the information 
were not collected, there would not be a uniform method of referring 
cases for formal hearings or a means to determine the issues involved 
for resolution.

    Type of Review: Extension of a currently approved collection.
    Agency: Employment Standards Administration (ESA).
    Title: Overpayment Recovery Questionnaire.
    OMB Number: 1215-0144.
    Affected Public: Individuals or households.
    Frequency: On occasion.
    Number of Respondents: 4,500.
    Number of Annual Responses: 4,500.
    Estimated Time Per Response: 1 hour.
    Total Burden Hours: 4,500.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $1,665.00.
    Description: The Federal Coal Mine Health and Safety Act of 1969, 
as amended, 30 U.S.C. 923(b) and 20 CFR 725.544(c) authorize the Black 
Lung program to collect information to determine whether or not the 
recovery of any Black Lung or Federal Employees' Compensation (FECA) 
overpayment may be waived compromised, terminated, or collected in 
full. The OWCP-20 collects information to ascertain the financial 
profile of beneficiaries who have been overpaid benefits, and their 
ability to repay. If the information were not collected, Black Lung and 
FECA would have little basis to decide on collection proceedings.

    Type of Review: Extension of a currently approved collection.
    Agency: Employment Standards Administration (ESA).
    Title: Claim for Continuance of Compensation.
    OMB Number: 1215-0154.
    Affected Public: Individuals or households.
    Frequency: Annually.
    Number of Respondents: 5,900.
    Number of Annual Responses: 5,900.
    Estimated Time Per Response: 5 minutes.
    Total Burden Hours: 492.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $2,006.00.
    Description: The Office of Workers' Compensation Programs (OWCP) 
administers the Federal Employees' Compensation Act, 5 U.S.C. 8133. 
Under the Act, eligible dependents of deceased employees receive 
compensation benefits on account of the employee's death. The CA-12 is 
used to

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obtain information on marital status of beneficiaries in death cases, 
in order to determine continued entitlement to benefits under the 
provisions of the Federal `Employees' Compensation Act. If the 
information were not collected the OWCP could not ensure that death 
benefits being paid are correct and that payments are not made to 
ineligible survivors.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. 02-8264 Filed 4-4-02; 8:45 am]
BILLING CODE 4510-CK-M