[Federal Register Volume 77, Number 6 (Tuesday, January 10, 2012)]
[Notices]
[Page 1513]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-174]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Coal Mine Workers' Compensation; Proposed Renewal of 
Existing 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 pre-clearance 
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 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 Office of Workers' Compensation Programs is soliciting 
comments concerning the proposed collection: Request to be Selected as 
Payee (CM-910). A copy of the proposed information collection request 
can be obtained by contacting the office listed below in the addresses 
section of this Notice.

DATES: Written comments must be submitted to the office listed in the 
addresses section below on or before March 12, 2012.

ADDRESSES: Mr. Vincent Alvarez, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0372, fax (202) 693-1447, Email [email protected]. 
Please use only one method of transmission for comments (mail, fax, or 
Email).

SUPPLEMENTARY INFORMATION: 

I. Background

    The Federal Mine Safety and Health Act of 1977, as amended, 30 
U.S.C. 901, provides for the payment of benefits by the Department of 
Labor (DOL) to miners who are totally disabled due to pneumoconiosis 
and to certain survivors of the miner. If a beneficiary is incapable of 
handling his or her affairs, the person or institution responsible for 
their care is required to apply to receive the benefit payments on the 
beneficiary's behalf. The CM-910 is the form completed by the 
representative payee applicants. The payee applicant completes the form 
and mails it for evaluation to the district office that has 
jurisdiction over the beneficiary's claim file. Regulations 20 CFR 
725.505-513 require the collection of this information. This 
information collection is currently approved for use through March 31, 
2012.

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 the approval for the extension of 
this currently-approved information collection in order to carry out 
its responsibility to evaluate an applicant ability to be a 
representative payee. If the Program were not able to screen 
representative payee applicants the beneficiary's best interest would 
not be served.
    Agency: Office of Workers' Compensation Programs.
    Type of Review: Extension.
    Title: Request to be Selected as Payee.
    OMB Number: 1240-0010.
    Agency Number: CM-910.
    Affected Public: Individuals or households; Business or other for 
profit; Not-for-profit institutions.
    Total Respondents: 2,300.
    Total Annual Responses: 2,300.
    Average Time per Response: 15 minutes.
    Estimated Total Burden Hours: 575.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $1,104.
    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: January 3, 2012.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2012-174 Filed 1-9-12; 8:45 am]
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