[Federal Register Volume 67, Number 92 (Monday, May 13, 2002)]
[Notices]
[Pages 32064-32065]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-11882]


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DEPARTMENT OF LABOR

Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a preclearance 
consultation program to provide the general public and Federal agencies 
with an opportunity to comment on proposed and/or continuing 
collections of information in accordance with the

[[Page 32065]]

Paperwork Reduction Act of 1995 (PRA95) [44 U.S.C. 3506(c)(2)(A)]. This 
program helps to ensure that requested data can be provided in the 
desired format, reporting burden (time and financial resources) is 
minimized, collection instruments are clearly understood, and the 
impact of collection requirements on respondents can be properly 
assessed. Currently, the Employment Standards Administration, Office of 
Workers' Compensation Programs (OWCP) is soliciting comments concerning 
the following proposed collection: Representative Payee Report (CM-
623), Representative Payee Report, Short Form (CM-623S), and 
Physician's/Medical Officer's Report (CM-787). A copy of the proposed 
information collection request can be obtained by contacting the office 
listed below in the addressee section of this Notice.

DATES: Written comments must be submitted to the office listed in the 
addressee section below on or before July 12, 2002.

ADDRESSES: Ms. Patricia A. Forkel, U. S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0339, fax (202) 693-1451, EMail esa.gov">[email protected]esa.gov. 
Please use only one method of transmission for comments (mail, fax, or 
EMail).

SUPPLEMENTARY INFORMATION:

I. Background

    The Office of Workers' Compensation Programs administers the 
Federal Black Lung Workers' Compensation Program. Under the Federal 
Mine Safety and Health Act (30 U.S.C. 901) benefits payable to a black 
lung beneficiary may be paid to a representative payee on behalf of the 
beneficiary when the beneficiary is unable to manage his/her benefits 
due to incapability, incompetence, or minority. The CM-623 is used to 
collect expenditure data regarding the disbursement of the 
beneficiary's benefits by the representative payee to assure that the 
beneficiary's needs are being met. The CM-623S is a shortened version 
of the CM-623 that is used when the representative payee is a family 
member. The CM-787 is a form used by OWCP to gather information from 
the beneficiary's physician about the capability of the beneficiary to 
manage monthly benefits. It is used by OWCP to determine if it is in 
the beneficiary's best interests to have his/her benefits managed by 
another party. Regulatory authority for the collection of this 
information is at 20 CFR 725.506, 510, 511, and 513. The information 
collection is currently approved by the Office of Management and Budget 
(OMB) for use through October 2002.

II. Review Focus

    The Department of Labor 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 submissions of responses.

III. Current Actions

    The Department of Labor seeks an extension of approval to collect 
this information in order to carry out its responsibility to determine 
if a beneficiary is capable and/or competent to manage his/her black 
lung benefits, and to assure that the representative payee is using the 
benefits to meet the beneficiary's needs. There is no change to these 
forms since the last OMB approval.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Titles: Representative Payee Report; Representative Payee Report, 
Short Form; Physician's Medical Officer's Statement.
    OMB Number: 1215-0173.
    Agency Numbers: CM-623, CM-623S, CM-787.
    Affected Public: Businesses or other for-profit; individuals or 
households; Not-for-profit institutions.

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                                      Respondents/                                    Average
                Form                    responses             Frequency            response time    Total hours
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CM-623.............................           2,275  Annually...................              90           3,413
CM-623S............................             600  Annually...................              10             100
CM-787.............................             223  On occasion................              15              56
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    Total Respondents/Responses: 3,098.
    Total Hours: 3,569.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operation/maintenance): $1,064.
    Comments submitted in response to this notice will be summarized 
and/or included in the request for Office of Management and Budget 
approval of the information collection request; they will also become a 
matter of public record.

    Dated: May 6, 2002.
Margaret J. Sherrill,
Chief, Branch of Management Review and Internal Control, Division of 
Financial Management, Office of Management, Administration and 
Planning, Employment Standards Administration.
[FR Doc. 02-11882 Filed 5-10-02; 8:45 am]
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