[Federal Register Volume 84, Number 232 (Tuesday, December 3, 2019)]
[Notices]
[Pages 66219-66223]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-26103]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Coal Mine Workers' Compensation; Proposed Extension 
of Existing Collection; Comment Request

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is soliciting comments 
concerning a proposed extension for the authority to conduct the 
information collection request (ICR) titled, ``Survivor's Form For 
Benefits Under The Black Lung Benefits Act.'' This comment request is 
part of continuing Departmental efforts to reduce paperwork and 
respondent burden in accordance with the Paperwork Reduction Act of 
1995 (PRA).

DATES: Consideration will be given to all written comments received by 
February 3, 2020.

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 by 
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at 
[email protected].
    Submit written comments about, or requests for a copy of, this ICR 
by mail or courier to the U.S. Department of Labor, Office of Workers' 
Compensation Program, Division of Coal Mine Workers' Compensation, Room 
S3323, 200 Constitution Avenue NW, Washington, DC 20210; or by email: 
[email protected].

FOR FURTHER INFORMATION CONTACT:  Contact Anjanette Suggs by telephone 
at 202-354-9660 or by email at [email protected].

SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to 
reduce paperwork and respondent burden, conducts a pre-clearance 
consultation program to provide the general public and Federal agencies 
an opportunity to comment on proposed and/or continuing collections of 
information before submitting them to the OMB for final approval. This 
program helps to ensure 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 can be properly assessed.
    This collection of information is required to administer the 
benefit payment provisions of the Black Lung Benefits Act for survivors 
of deceased miners. Completion of this form constitutes the application 
for benefits by survivors and assists in determining the survivor's 
entitlement to benefits. Form CM-912 is authorized for use by the Black 
Lung Benefits Act (30 U.S.C. 901, et seq.) and regulations (20 CFR 
725.304) and is used to gather information from a survivor of a miner 
to determine whether the survivor is entitled to benefits. This 
information collection is currently approved for use through March 31, 
2020.
    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 the OMB under the PRA approves it 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

[[Page 66220]]

valid Control Number. See 5 CFR 1320.5(a) and 1320.6.
    Interested parties are encouraged to provide comments to the 
contact shown in the ADDRESSES section. Written comments will receive 
consideration, and summarized and included in the request for OMB 
approval of the final ICR. In order to help ensure appropriate 
consideration, comments should mention 1240-0027.
    Submitted comments will also be a matter of public record for this 
ICR and posted on the internet, without redaction. The DOL encourages 
commenters not to include personally identifiable information, 
confidential business data, or other sensitive statements/information 
in any comments.
    The DOL 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-DCMWC.
    Type of Review: Extension.
    Title of Collection: Survivor's Form For Benefits Under The Black 
Lung Benefits Act.
    Form: Survivor's Form For Benefits Under The Black Lung Benefits 
Act, CM-912, 1240-0027.
    OMB Control Number: 1240-0027.
    Affected Public: Individuals or households.
    Estimated Number of Respondents: 850.
    Frequency: One time.
    Total Estimated Annual Responses: 850.
    Estimated Average Time per Response: 8 minutes.
    Estimated Total Annual Burden Hours: 113 hours.
    Total Estimated Annual Other Cost Burden: $377.

    Dated: November 26, 2019.
Anjanette Suggs,
Agency Clearance Officer.
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[FR Doc. 2019-26103 Filed 12-2-19; 8:45 am]
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