[Federal Register Volume 77, Number 61 (Thursday, March 29, 2012)]
[Notices]
[Page 19035]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-7491]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Request To Be Selected as Payee

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Request To Be Selected as Payee,'' 
Form CM-910, to the Office of Management and Budget (OMB) for review 
and approval for use in accordance with the Paperwork Reduction Act 
(PRA) of 1995 (44 U.S.C. 3501 et seq.).

DATES: Submit comments on or before April 30, 2012.

ADDRESSES: A copy of this ICR with applicable supporting documentation; 
including a description of the likely respondents, proposed frequency 
of response, and estimated total burden may be obtained from the 
RegInfo.gov Web site, http://www.reginfo.gov/public/do/PRAMain, on the 
day following publication of this notice or by contacting Michel Smyth 
by telephone at 202-693-4129 (this is not a toll-free number) or 
sending an email to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for DOL-OWCP, Office of 
Management and Budget, Room 10235, Washington, DC 20503, Telephone: 
202-395-6929/Fax: 202-395-6881 (these are not toll-free numbers), 
email: [email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by email at [email protected].

SUPPLEMENTARY INFORMATION: Benefits are payable by the DOL to miners 
who are totally disabled due to pneumoconiosis and to certain survivors 
of a miner under the Federal Mine Safety and Health Act of 1977, as 
amended (30 U.S.C. 901 et seq.). If a beneficiary is incapable of 
handling his/her affairs, the person or institution responsible for 
their care is required to apply to receive the benefit payments on the 
beneficiary's behalf. Representative payee applicants complete and 
submit Form CM-910 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 subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless it is approved by the OMB under the PRA and displays 
a currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information if the 
collection of information does not display a valid OMB Control Number. 
See 5 CFR 1320.5(a) and 1320.6. The DOL obtains OMB approval for this 
information collection under OMB Control Number 1240-0010. The current 
OMB approval is scheduled to expire on March 31, 2012; however, it 
should be noted that existing information collection requirements 
submitted to the OMB receive a month-to-month extension while they 
undergo review. While not affecting the public burden, this ICR 
technically qualifies as a revision under the PRA. The agency has made 
cosmetic changes to Form CM-910 (e.g., replaced an obsolete logo with 
the DOL Seal and removed references to the no longer existent 
Employment Standards Administration). For additional information, see 
the related notice published in the Federal Register on January 10, 
2012 (77 FR 1513).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should reference OMB Control Number 1240-0010. 
The OMB is particularly interested in comments that:
     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.
    Agency: DOL-OWCP.
    Title of Collection: Request To Be Selected as Payee.
    OMB Control Number: 1240-0010.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 2,300.
    Total Estimated Number of Responses: 2,300.
    Total Estimated Annual Burden Hours: 575.
    Total Estimated Annual Other Costs Burden: $1,104.

    Dated: March 23, 2012.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2012-7491 Filed 3-28-12; 8:45 am]
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