[Federal Register Volume 81, Number 144 (Wednesday, July 27, 2016)]
[Notices]
[Pages 49270-49271]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-17726]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Proposed Collection of Existing Collection; Comment Request

AGENCY: Division of Coal Mine Workers' Compensation, Office of Workers' 
Compensation Programs, Department of Labor

ACTION: Notice.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden,

[[Page 49271]]

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 September 26, 2016.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3323, Washington, DC 20210, telephone/fax 
(202) 354-9647, 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 December 31, 2016.

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 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: 2,000.
    Total Annual Responses: 2,000.
    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): $1,000.
    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: July 21, 2016.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2016-17726 Filed 7-26-16; 8:45 am]
 BILLING CODE 4510-CK-P