[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Pages 95648-95649]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-31387]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Request for State or Federal Workers' 
Compensation Information

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 for State or Federal Workers' 
Compensation Information,'' 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 January 27, 2017.

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 free of charge 
from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201607-1240-002 (this link will only become active 
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, 725 17th Street NW., Washington, DC 
20503, Fax: 202-395-6881 (this is not a toll-free number), email: 
[email protected]. Commenters are encouraged, but not 
required, to send a courtesy copy of any comments to the U.S. 
Department of Labor-OASAM, Office of the Chief Information Officer, 
Attn: Compliance Management Program, Room N1301, 200 Constitution 
Avenue NW., Washington, DC 20210, 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].

    Authority:  44 U.S.C. 3507(a)(1)(D).


SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Request for State or Federal Workers' Compensation 
Information (Form CM-905) information collection. Form CM-905 collects 
information to process a claim under the Black Lung Benefits Act (30 
U.S.C. 901 et seq.). The information collected helps determine 
compensation benefits awarded for pneumoconiosis. The information 
collection has been classified as a revision, because the OWCP proposes 
to make a series of cosmetic and minor changes to Form CM-905. The 
changes provide clearer language, so that Federal/State workers' 
compensation officials clearly understand which portion of the form 
they should complete and what information to provide. Other changes 
update the form to reflect current organizational structure within the 
DOL. For additional substantive information about this ICR, see the 
related notice published in the Federal Register on July 27, 2016 (81 
FR 49270).
    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 that 
does not display a valid Control Number. See 5 CFR 1320.5(a) and 
1320.6. The DOL obtains OMB approval for this information collection 
under Control Number 1240-0032. The current approval for this 
collection is scheduled to expire on December 31, 2016; however, the 
DOL notes that existing information collection requirements submitted 
to the OMB receive a month-to-month extension while they undergo

[[Page 95649]]

review. New requirements would only take effect upon OMB approval.
    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 mention OMB Control Number 1240-0032. 
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 for State or Federal Workers' 
Compensation Information.
    OMB Control Number: 1240-0032.
    Affected Public: Federal Government; State, Local, and Tribal 
Governments.
    Total Estimated Number of Respondents: 2,000.
    Total Estimated Number of Responses: 2,000.
    Total Estimated Annual Burden Hours: 500.
    Total Estimated Annual Other Costs Burden: $1,000.

    Dated: December 21, 2016.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016-31387 Filed 12-27-16; 8:45 am]
 BILLING CODE 4510-CK-P