[Federal Register Volume 71, Number 158 (Wednesday, August 16, 2006)]
[Notices]
[Pages 47248-47249]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-13466]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

August 9, 2006.
    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 
this ICR, with applicable supporting documentation, may be obtained by 
contacting Darrin King on 202-693-4129 (this is not a toll-free number) 
or e-mail: [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for the Employment Standards 
Administration (ESA), Office of Management and Budget, Room 10235, 
Washington, DC 20503, 202-395-7316 (this is not a toll-free number), 
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,

[[Page 47249]]

e.g., permitting electronic submission of responses.
    Agency: Employment Standards Administration.
    Type of Review: Extension without change of currently approved 
collection.
    Title: Authorization for Release of Medical Information (Black Lung 
Benefits).
    OMB Number: 1215-0057.
    Form Number: CM-936.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Individuals or households.
    Number of Respondents: 1,200.
    Annual Reponses: 1,200.
    Average Response Time: 5 minutes.
    Total Annual Burden Hours: 100.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The Black Lung Benefits Act, as amended 30 U.S.C. 901 
et seq., and 20 CFR 725.405 require that all relevant medical evidence 
be considered before a decision can be made regarding a claimant's 
eligibility for benefits. The CM-936 is a form that gives the 
claimant's consent for release of information required by the Privacy 
Act of 1974, and contains information required by medical institutions 
and private physicians to enable them to release pertinent medical 
information.

Ira L. Mills,
Departmental Clearance Officer.
[FR Doc. E6-13466 Filed 8-15-06; 8:45 am]
BILLING CODE 4510-23-P