[Federal Register Volume 83, Number 172 (Wednesday, September 5, 2018)]
[Notices]
[Pages 45142-45143]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19222]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Coal Mine Workers' Compensation Proposed Extension of
Existing Collection; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
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. 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:
Authorization for Release of Medical Information (CM-936). 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 November 5, 2018.
ADDRESSES: You may submit comments by mail, delivery service, or by
hand to Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution
Ave. NW, Room S-3323, Washington, DC 20210; by fax (202) 354-9647; or
by email to [email protected]. Please use only one method of
transmission for comments (mail/delivery, fax, or Email). Please note
that comments submitted after the comment period will not be
considered.
SUPPLEMENTARY INFORMATION
I. Background: The Black Lung Benefits Act, as amended, 30 U.S.C.
901 et seq., and 20 CFR 725.405 require that all relevant medical
evidence be considered before a decision can be
[[Page 45143]]
made regarding a claimant's eligibility for benefits. By signing the
CM-936 form, the claimant authorizes physicians, hospitals, medical
facilities or organizations, and the National Institute for
Occupational Safety and Health to release medical information about the
miner to the Department of Labor's Office of Workers' Compensation
Programs. The form contains information required by medical
institutions and private physicians to enable them to release pertinent
medical information. This information collection is currently approved
for use through November 30, 2018.
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 approval for
the extension of this currently-approved information collection in
order to obtain claimant consent for the release of medical information
for consideration by the Office of Workers' Compensation Programs in
their claim for benefits. Failure to gather this information would
inhibit the adjudication of black lung claims because pertinent medical
data would not be available for consideration during the processing of
the claim.
Agency: Office of Workers' Compensation Programs.
Type of Review: Extension.
Title: Authorization for Release of Medical Information.
OMB Number: 1240-0034.
Agency Number: CM-936.
Affected Public: Individuals or households.
Total Respondents: 7,000.
Total Annual Responses: 7,000.
Average Time per Response: 5 minutes.
Estimated Total Burden Hours: 583 hours.
Frequency: On occasion.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $7,420.
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: August 27, 2018.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2018-19222 Filed 9-4-18; 8:45 am]
BILLING CODE 4510-CK-P