[Federal Register Volume 67, Number 177 (Thursday, September 12, 2002)]
[Notices]
[Pages 57854-57855]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-23206]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review; Comment Request

September 5, 2002.
    The Department of Labor (DOL) has submitted the following public 
information collection request (ICR) 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) 693-4158 or e-mail [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:
    [sbull] 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;
    [sbull] 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;

[[Page 57855]]

    [sbull] 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: Representative Payee Report, Representative Payee Report 
(Short Form), Physician's/Medical Officer's Report.
    OMB Number: 1215-0173.
    Affected Public: Business or other for-profit; Individuals or 
households; and Not-for-profit institutions.
    Estimated Time Per Response and Burden Hours:

----------------------------------------------------------------------------------------------------------------
                                                                                      Average
               Form name                 Respondents/           Frequency          response time    Total hours
                                           responses                               (in minutes)
----------------------------------------------------------------------------------------------------------------
CM-623................................           2,275  Annually................              90           3,413
CM-623S...............................             600  Annually................              10             100
CM-787................................             223  On occasion.............              15              56
                                       ----------------                          -------------------------------
    Total.............................           3,098  ........................  ..............           3,569
----------------------------------------------------------------------------------------------------------------

    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The Office of Workers' Compensation Programs (OWCP) 
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 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.

Marlene J. Howze,
Acting Departmental Clearance Officer.
[FR Doc. 02-23206 Filed 9-11-02; 8:45 am]
BILLING CODE 4510-CK-M