[Federal Register Volume 79, Number 237 (Wednesday, December 10, 2014)]
[Notices]
[Page 73340]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-28835]



[[Page 73340]]

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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Coal Mine Workers' Compensation; Proposed 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 February 9, 2015.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0701, 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 May 31, 
2015.
    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): $1,196.
    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: December 4, 2014.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2014-28835 Filed 12-9-14; 8:45 am]
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