[Federal Register Volume 78, Number 113 (Wednesday, June 12, 2013)]
[Notices]
[Pages 35327-35328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-13953]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Coal Mine Workers' Compensation; Proposed Collection 
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 for State or 
Federal Workers' Compensation Information (CM-905). 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 August 12, 2013.

ADDRESSES: Mr. Vincent Alvarez, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-32331, 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) and 20 CFR 725.535, require that DOL Black Lung 
benefit payments to a beneficiary for any month be reduced by any other 
payments of state or federal benefits for workers' compensation due to 
pneumoconiosis. To ensure compliance with this mandate, DCMWC must 
collect information regarding the status of any state or Federal 
workers' compensation claim, including dates of payments, weekly or 
lump sum amounts paid, and other fees or expenses paid out for this 
award, such as attorney fees and related expenses associated with 
pneumoconiosis. Form CM-905 is used to request the amount of those 
workers' compensation benefits. This information collection is 
currently approved for use through October 31, 2013.
    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

[[Page 35328]]

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 gather information to determine the amounts of Black Lung 
benefits paid to beneficiaries. Black Lung amounts are reduced dollar 
for dollar, for other Black Lung related workers' compensation awards 
the beneficiary may be receiving from State or Federal programs.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Request for State or Federal Workers' Compensation 
Information.
    OMB Number: 1240-0032.
    Agency Number: CM-905.
    Affected Public: Federal government; State, Local or Tribal 
Government.
    Total Respondents: 2000.
    Total Annual Responses: 2000.
    Average Time per Response: 15 minutes.
    Estimated Total Burden Hours: 500.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $980.
    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: June 6, 2013.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2013-13953 Filed 6-11-13; 8:45 am]
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