80 FR 50045 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization for Release of Medical Information for Black Lung Benefits

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 80, Issue 159 (August 18, 2015)

Page Range		50045-50046
FR Document		2015-20314

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ``Authorization for Release of Medical Information for Black Lung Benefits,'' 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.). Public comments on the ICR are invited.

Federal Register, Volume 80 Issue 159 (Tuesday, August 18, 2015)

[Federal Register Volume 80, Number 159 (Tuesday, August 18, 2015)]
[Notices]
[Pages 50045-50046]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-20314]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Authorization for Release of Medical 
Information for Black Lung Benefits

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Authorization for Release of Medical 
Information for Black Lung Benefits,'' 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.). Public 
comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before September 17, 2015.

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=201505-1240-002 (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, TTY 202-693-8064, (these are 
not toll-free numbers) or sending an email to [email protected].
    Submit comments about this request by mail or courier 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; by Fax: 202-395-5806 (this is not a toll-free 
number); or by email: [email protected]. Commenters are 
encouraged, but not required, to send a courtesy copy of any comments 
by mail or courier to the U.S. Department of Labor-OASAM, Office of the 
Chief Information Officer, Attn: Departmental Information Compliance 
Management Program, Room N1301, 200 Constitution Avenue NW., 
Washington, DC 20210; or by email: [email protected].

FOR FURTHER INFORMATION CONTACT: Michel Smyth by telephone at 202-693-
4129, TTY 202-693-8064, (these are not toll-free numbers) or sending an 
email to [email protected].

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

SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Authorization for Release of Medical Information for 
Black Lung Benefits information collection, Form CM-936. Regulations 20 
CFR 725.405 requires all relevant medical evidence be considered before 
a decision is made regarding a claimant's eligibility for black lung 
benefits; consequently, a person who files such a claim may submit 
medical information to the OWCP, Division of Coal Mine Workers' 
Compensation to help develop the claim. Form CM-936 gives the 
claimant's consent for the release of that medical information by any 
physician, hospital, agency, or other organization to the OWCP. This 
information collection has been classified as a revision, because of 
minor changes to CM-936 to provide clearer language so claimants can 
better understand what information they need to provide. Federal Mine 
Safety and Health Act of 1977 section 436 authorizes this information 
collection. See 30 U.S.C. 936.
    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 1240-0034. The current approval is scheduled to 
expire on October 31, 2015; however, the DOL notes that existing 
information collection requirements submitted to the OMB receive a 
month-to-month extension while they undergo review. New requirements 
would only take effect upon OMB approval. For additional substantive 
information about this ICR, see the related notice published in the 
Federal Register on May 18, 2015 (80 FR 28302).
    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 thirty (30) days of publication of this 
notice in the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0034. 
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,

[[Page 50046]]

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: Authorization for Release of Medical 
Information for Black Lung Benefits.
    OMB Control Number: 1240-0034.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 900.
    Total Estimated Number of Responses: 900.
    Total Estimated Annual Time Burden: 75 hours.
    Total Estimated Annual Other Costs Burden: $0.

     Dated: August 12, 2015.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2015-20314 Filed 8-17-15; 8:45 am]
 BILLING CODE 4510-CK-P

Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices 50045

reimburse the United States for its past SUMMARY: The Department of Labor benefits; consequently, a person who
response costs incurred during the (DOL) is submitting the Office of files such a claim may submit medical
removal action. In exchange, the Port Workers’ Compensation Programs information to the OWCP, Division of
will receive a covenant protecting it (OWCP) sponsored information Coal Mine Workers’ Compensation to
from further action to recover past collection request (ICR) revision titled, help develop the claim. Form CM–936
response costs as that term is defined in ‘‘Authorization for Release of Medical gives the claimant’s consent for the
the proposed Consent Decree. Information for Black Lung Benefits,’’ to release of that medical information by
The publication of this notice opens the Office of Management and Budget any physician, hospital, agency, or other
a period for public comment on the (OMB) for review and approval for use organization to the OWCP. This
proposed Consent Decree. Comments in accordance with the Paperwork information collection has been
should be addressed to the Assistant Reduction Act (PRA) of 1995 (44 U.S.C. classified as a revision, because of
Attorney General, Environment and 3501 et seq.). Public comments on the minor changes to CM–936 to provide
Natural Resources Division, and should ICR are invited. clearer language so claimants can better
refer to United States v. Klickitat County DATES: The OMB will consider all understand what information they need
Port District No. 1, D.J. Ref. No. 90–11– written comments that agency receives to provide. Federal Mine Safety and
3–10906. All comments must be on or before September 17, 2015. Health Act of 1977 section 436
submitted no later than thirty (30) days ADDRESSES: A copy of this ICR with authorizes this information collection.
after the publication date of this notice. applicable supporting documentation; See 30 U.S.C. 936.
Comments may be submitted either by including a description of the likely This information collection is subject
email or by mail: respondents, proposed frequency of to the PRA. A Federal agency generally
response, and estimated total burden cannot conduct or sponsor a collection
To submit may be obtained free of charge from the of information, and the public is
Send them to:
comments: RegInfo.gov Web site at http:// generally not required to respond to an
By e-mail ....... pubcomment-ees.enrd@ www.reginfo.gov/public/do/ information collection, unless it is
usdoj.gov. PRAViewICR?ref_nbr=201505-1240-002 approved by the OMB under the PRA
By mail ........... Assistant Attorney General, (this link will only become active on the and displays a currently valid OMB
U.S. DOJ—ENRD, day following publication of this notice) Control Number. In addition,
P.O. Box 7611, or by contacting Michel Smyth by notwithstanding any other provisions of
Washington, DC 20044– telephone at 202–693–4129, TTY 202– law, no person shall generally be subject
7611. 693–8064, (these are not toll-free to penalty for failing to comply with a
numbers) or sending an email to DOL_ collection of information that does not
During the public comment period, PRA_PUBLIC@dol.gov. display a valid Control Number. See 5
the proposed Consent Decree may be Submit comments about this request CFR 1320.5(a) and 1320.6. The DOL
examined and downloaded at this by mail or courier to the Office of obtains OMB approval for this
Justice Department Web site: http:// Information and Regulatory Affairs, information collection under Control
www.justice.gov/enrd/consent-decrees. Attn: OMB Desk Officer for DOL– Number 1240–0034. The current
We will provide a paper copy of the OWCP, Office of Management and approval is scheduled to expire on
proposed Consent Decree upon written Budget, Room 10235, 725 17th Street October 31, 2015; however, the DOL
request and payment of reproduction NW., Washington, DC 20503; by Fax: notes that existing information
costs. Please mail your request and 202–395–5806 (this is not a toll-free collection requirements submitted to the
payment to: number); or by email: OIRA_ OMB receive a month-to-month
Consent Decree Library, U.S. DOJ— submission@omb.eop.gov. Commenters extension while they undergo review.
ENRD, P.O. Box 7611, Washington, DC are encouraged, but not required, to New requirements would only take
20044–7611. send a courtesy copy of any comments effect upon OMB approval. For
Please enclose a check or money order by mail or courier to the U.S. additional substantive information
for $6.75 (25 cents per page Department of Labor-OASAM, Office of about this ICR, see the related notice
reproduction cost) payable to the United the Chief Information Officer, Attn: published in the Federal Register on
Departmental Information Compliance May 18, 2015 (80 FR 28302).
States Treasury.
Management Program, Room N1301, Interested parties are encouraged to
Susan M. Akers, 200 Constitution Avenue NW., send comments to the OMB, Office of
Assistant Section Chief, Environmental Washington, DC 20210; or by email: Information and Regulatory Affairs at
Enforcement Section, Environment and DOL_PRA_PUBLIC@dol.gov. the address shown in the ADDRESSES
Natural Resources Division. FOR FURTHER INFORMATION CONTACT: section within thirty (30) days of
[FR Doc. 2015–20307 Filed 8–17–15; 8:45 am] Michel Smyth by telephone at 202–693– publication of this notice in the Federal
BILLING CODE 4410–15–P 4129, TTY 202–693–8064, (these are not Register. In order to help ensure
toll-free numbers) or sending an email appropriate consideration, comments
to DOL_PRA_PUBLIC@dol.gov. should mention OMB Control Number
DEPARTMENT OF LABOR Authority: 44 U.S.C. 3507(a)(1)(D). 1240–0034. The OMB is particularly
SUPPLEMENTARY INFORMATION: This ICR interested in comments that:
Office of the Secretary seeks approval under the PRA for • Evaluate whether the proposed
asabaliauskas on DSK5VPTVN1PROD with NOTICES

revisions to the Authorization for collection of information is necessary
Agency Information Collection Release of Medical Information for for the proper performance of the
Activities; Submission for OMB Black Lung Benefits information functions of the agency, including
Review; Comment Request; collection, Form CM–936. Regulations whether the information will have
Authorization for Release of Medical 20 CFR 725.405 requires all relevant practical utility;
Information for Black Lung Benefits medical evidence be considered before • Evaluate the accuracy of the
ACTION: Notice. a decision is made regarding a agency’s estimate of the burden of the
claimant’s eligibility for black lung proposed collection of information,

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50046 Federal Register / Vol. 80, No. 159 / Tuesday, August 18, 2015 / Notices

including the validity of the RegInfo.gov Web site at http:// information collection, unless it is
methodology and assumptions used; www.reginfo.gov/public/do/ approved by the OMB under the PRA
• Enhance the quality, utility, and PRAViewICR?ref_nbr=201505-1218-007 and displays a currently valid OMB
clarity of the information to be (this link will only become active on the Control Number. In addition,
collected; and day following publication of this notice) notwithstanding any other provisions of
• Minimize the burden of the or by contacting Michel Smyth by law, no person shall generally be subject
collection of information on those who telephone at 202–693–4129, TTY 202– to penalty for failing to comply with a
are to respond, including through the 693–8064, (these are not toll-free collection of information that does not
use of appropriate automated, numbers) or by email at DOL_PRA_ display a valid Control Number. See 5
electronic, mechanical, or other PUBLIC@dol.gov. CFR 1320.5(a) and 1320.6. The DOL
technological collection techniques or Submit comments about this request obtains OMB approval for this
other forms of information technology, by mail or courier to the Office of information collection under Control
e.g., permitting electronic submission of Information and Regulatory Affairs, Number 1218–0185.
responses. Attn: OMB Desk Officer for DOL–OSHA, OMB authorization for an ICR cannot
Agency: DOL–OWCP. Office of Management and Budget, be for more than three (3) years without
Title of Collection: Authorization for Room 10235, 725 17th Street NW., renewal, and the current approval for
Release of Medical Information for Washington, DC 20503; by Fax: 202– this collection is scheduled to expire on
Black Lung Benefits. 395–5806 (this is not a toll-free August 31, 2015. The DOL seeks to
OMB Control Number: 1240–0034. number); or by email: OIRA_ extend PRA authorization for this
Affected Public: Individuals or submission@omb.eop.gov. Commenters information collection for three (3) more
Households. are encouraged, but not required, to years, without any change to existing
Total Estimated Number of send a courtesy copy of any comments requirements. The DOL notes that
Respondents: 900. by mail or courier to the U.S. existing information collection
Total Estimated Number of Department of Labor-OASAM, Office of requirements submitted to the OMB
Responses: 900. the Chief Information Officer, Attn:
Total Estimated Annual Time Burden: receive a month-to-month extension
Departmental Information Compliance while they undergo review. For
75 hours. Management Program, Room N1301,
Total Estimated Annual Other Costs additional substantive information
200 Constitution Avenue NW., about this ICR, see the related notice
Burden: $0. Washington, DC 20210; or by email: published in the Federal Register on
Dated: August 12, 2015. DOL_PRA_PUBLIC@dol.gov. June 11, 2015 (80 FR 33293).
Michel Smyth, FOR FURTHER INFORMATION CONTACT: Interested parties are encouraged to
Departmental Clearance Officer. Michel Smyth by telephone at 202–693– send comments to the OMB, Office of
[FR Doc. 2015–20314 Filed 8–17–15; 8:45 am] 4129, TTY 202–693–8064, (these are not Information and Regulatory Affairs at
BILLING CODE 4510–CK–P toll-free numbers) or by email at DOL_ the address shown in the ADDRESSES
PRA_PUBLIC@dol.gov. section within thirty (30) days of
Authority: 44 U.S.C. 3507(a)(1)(D). publication of this notice in the Federal
DEPARTMENT OF LABOR SUPPLEMENTARY INFORMATION: This ICR Register. In order to help ensure
seeks to extend PRA authority for the appropriate consideration, comments
Office of the Secretary should mention OMB Control Number
Cadmium in General Industry Standard
information collection requirements 1218–0185. The OMB is particularly
Agency Information Collection
codified in regulations 29 CFR interested in comments that:
Activities; Submission for OMB
Review; Comment Request; Cadmium 1910.1027. The major collection of • Evaluate whether the proposed
in General Industry Standard information requirements of this collection of information is necessary
Standard include: Conducting worker for the proper performance of the
ACTION: Notice. exposure monitoring; notifying workers functions of the agency, including
of their cadmium exposures; whether the information will have
SUMMARY: The Department of Labor implementing a written compliance practical utility;
(DOL) is submitting the Occupational program; implementing medical • Evaluate the accuracy of the
Safety and Health Administration surveillance of workers; providing agency’s estimate of the burden of the
(OSHA) sponsored information examining physicians with specific proposed collection of information,
collection request (ICR) titled, information; ensuring workers receive a including the validity of the
‘‘Cadmium in General Industry copy of their medical surveillance methodology and assumptions used;
Standard,’’ to the Office of Management results; maintaining workers’ exposure • Enhance the quality, utility, and
and Budget (OMB) for review and monitoring and medical surveillance clarity of the information to be
approval for continued use, without records for specific periods; and collected; and
change, in accordance with the providing access to records to workers • Minimize the burden of the
Paperwork Reduction Act of 1995 who are the subject of the records, the collection of information on those who
(PRA), 44 U.S.C. 3501 et seq. Public workers’ representatives, and other are to respond, including through the
comments on the ICR are invited. designated parties. Occupational Safety use of appropriate automated,
DATES: The OMB will consider all and Health Act sections 2(b)(9), 6, and electronic, mechanical, or other
asabaliauskas on DSK5VPTVN1PROD with NOTICES

written comments that agency receives 8(c) authorize this information technological collection techniques or
on or before September 17, 2015. collection. See 29 U.S.C. 651(b)(9), 655, other forms of information technology,
ADDRESSES: A copy of this ICR with and 657(c). e.g., permitting electronic submission of
applicable supporting documentation; This information collection is subject responses.
including a description of the likely to the PRA. A Federal agency generally Agency: DOL–OSHA.
respondents, proposed frequency of cannot conduct or sponsor a collection Title of Collection: Cadmium in
response, and estimated total burden of information, and the public is General Industry Standard.
may be obtained free of charge from the generally not required to respond to an OMB Control Number: 1218–0185.

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Document Created: 2015-12-15 12:04:48
Document Modified: 2015-12-15 12:04:48

Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Dates		The OMB will consider all written comments that agency receives on or before September 17, 2015.
Contact		Michel Smyth by telephone at 202-693- 4129, TTY 202-693-8064, (these are not toll-free numbers) or sending an email to [email protected]
FR Citation		80 FR 50045

80 FR 50045 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization for Release of Medical Information for Black Lung Benefits

DEPARTMENT OF LABOROffice of the Secretary

Federal Register Volume 80, Issue 159 (August 18, 2015)

DEPARTMENT OF LABOR
Office of the Secretary