81_FR_95897 81 FR 95648 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Request for State or Federal Workers' Compensation Information

81 FR 95648 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Request for State or Federal Workers' Compensation Information

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 81, Issue 249 (December 28, 2016)

Page Range95648-95649
FR Document2016-31387

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.).

Federal Register, Volume 81 Issue 249 (Wednesday, December 28, 2016)
[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Pages 95648-95649]
From the Federal Register Online  [www.thefederalregister.org]
[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.

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

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



                                                95648                             Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices

                                                respect to the promulgation and                                             revocation of registration) has been                                        September 5, 2016, Johnson Matthey
                                                implementation of 21 CFR part 1301,                                         redelegated to the Assistant                                                Inc., Pharmaceuticals Materials, 900
                                                incident to the registration of                                             Administrator of the DEA Diversion                                          River Road, Conshohocken,
                                                manufacturers, distributors, dispensers,                                    Control Division (‘‘Assistant                                               Pennsylvania 19428, applied to be
                                                importers, and exporters of controlled                                      Administrator’’) pursuant to section 7 of                                   registered as a bulk manufacturer of the
                                                substances (other than final orders in                                      28 CFR part 0, appendix to subpart R.                                       following basic classes of controlled
                                                connection with suspension, denial, or                                        In accordance with 21 CFR                                                 substances:
                                                                                                                            1301.33(a), this is notice that on

                                                                                                                         Controlled substance                                                                                         Drug code    Schedule

                                                Gamma Hydroxybutyric Acid ...........................................................................................................................................                       2010   I
                                                Amphetamine ...................................................................................................................................................................             1100   II
                                                Methylphenidate ..............................................................................................................................................................              1724   II
                                                Codeine ...........................................................................................................................................................................         9050   II
                                                Oxycodone .......................................................................................................................................................................           9143   II
                                                Diphenoxylate ..................................................................................................................................................................            9170   II
                                                Hydrocodone ...................................................................................................................................................................             9193   II
                                                Meperidine .......................................................................................................................................................................          9230   II
                                                Methadone .......................................................................................................................................................................           9250   II
                                                Methadone intermediate ..................................................................................................................................................                   9254   II
                                                Morphine ..........................................................................................................................................................................         9300   II
                                                Thebaine ..........................................................................................................................................................................         9333   II
                                                Opium tincture .................................................................................................................................................................            9630   II



                                                  The company plans to manufacture                                          respondents, proposed frequency of                                          et seq.). The information collected helps
                                                the listed controlled substances in bulk                                    response, and estimated total burden                                        determine compensation benefits
                                                for distribution and sale to its                                            may be obtained free of charge from the                                     awarded for pneumoconiosis. The
                                                customers. Thebaine (9333) will be used                                     RegInfo.gov Web site at http://                                             information collection has been
                                                to manufacture other controlled                                             www.reginfo.gov/public/do/                                                  classified as a revision, because the
                                                substances for sale in bulk to its                                          PRAViewICR?ref_nbr=201607-1240-002                                          OWCP proposes to make a series of
                                                customers.                                                                  (this link will only become active on the                                   cosmetic and minor changes to Form
                                                  Dated: December 20, 2016.                                                 day following publication of this notice)                                   CM–905. The changes provide clearer
                                                                                                                            or by contacting Michel Smyth by                                            language, so that Federal/State workers’
                                                Louis J. Milione,
                                                                                                                            telephone at 202–693–4129 (this is not                                      compensation officials clearly
                                                Assistant Administrator.
                                                                                                                            a toll-free number) or sending an email                                     understand which portion of the form
                                                [FR Doc. 2016–31283 Filed 12–27–16; 8:45 am]                                to DOL_PRA_PUBLIC@dol.gov.                                                  they should complete and what
                                                BILLING CODE 4410–09–P                                                         Submit comments about this request                                       information to provide. Other changes
                                                                                                                            to the Office of Information and                                            update the form to reflect current
                                                                                                                            Regulatory Affairs, Attn: OMB Desk                                          organizational structure within the DOL.
                                                DEPARTMENT OF LABOR                                                         Officer for DOL–OWCP, Office of                                             For additional substantive information
                                                                                                                            Management and Budget, Room 10235,                                          about this ICR, see the related notice
                                                Office of the Secretary                                                     725 17th Street NW., Washington, DC                                         published in the Federal Register on
                                                                                                                            20503, Fax: 202–395–6881 (this is not a                                     July 27, 2016 (81 FR 49270).
                                                Agency Information Collection                                               toll-free number), email: OIRA_
                                                Activities; Submission for OMB                                              submission@omb.eop.gov. Commenters                                             This information collection is subject
                                                Review; Comment Request; Request                                            are encouraged, but not required, to                                        to the PRA. A Federal agency generally
                                                for State or Federal Workers’                                               send a courtesy copy of any comments                                        cannot conduct or sponsor a collection
                                                Compensation Information                                                    to the U.S. Department of Labor-                                            of information, and the public is
                                                                                                                            OASAM, Office of the Chief Information                                      generally not required to respond to an
                                                ACTION:       Notice.                                                       Officer, Attn: Compliance Management                                        information collection, unless it is
                                                                                                                            Program, Room N1301, 200 Constitution                                       approved by the OMB under the PRA
                                                SUMMARY:   The Department of Labor                                                                                                                      and displays a currently valid OMB
                                                (DOL) is submitting the Office of                                           Avenue NW., Washington, DC 20210,
                                                                                                                            email: DOL_PRA_PUBLIC@dol.gov.                                              Control Number. In addition,
                                                Workers’ Compensation Programs                                                                                                                          notwithstanding any other provisions of
                                                (OWCP) sponsored information                                                FOR FURTHER INFORMATION CONTACT:
                                                                                                                            Contact Michel Smyth by telephone at                                        law, no person shall generally be subject
                                                collection request (ICR) revision titled,                                                                                                               to penalty for failing to comply with a
                                                ‘‘Request for State or Federal Workers’                                     202–693–4129 (this is not a toll-free
                                                                                                                            number) or by email at DOL_PRA_                                             collection of information that does not
                                                Compensation Information,’’ to the                                                                                                                      display a valid Control Number. See 5
                                                Office of Management and Budget                                             PUBLIC@dol.gov.
                                                                                                                                                                                                        CFR 1320.5(a) and 1320.6. The DOL
                                                (OMB) for review and approval for use                                          Authority: 44 U.S.C. 3507(a)(1)(D).                                      obtains OMB approval for this
                                                in accordance with the Paperwork                                            SUPPLEMENTARY INFORMATION:     This ICR                                     information collection under Control
sradovich on DSK3GMQ082PROD with NOTICES




                                                Reduction Act (PRA) of 1995 (44 U.S.C.                                      seeks approval under the PRA for                                            Number 1240–0032. The current
                                                3501 et seq.).                                                              revisions to the Request for State or                                       approval for this collection is scheduled
                                                DATES: Submit comments on or before                                         Federal Workers’ Compensation                                               to expire on December 31, 2016;
                                                January 27, 2017.                                                           Information (Form CM–905) information                                       however, the DOL notes that existing
                                                ADDRESSES: A copy of this ICR with                                          collection. Form CM–905 collects                                            information collection requirements
                                                applicable supporting documentation;                                        information to process a claim under the                                    submitted to the OMB receive a month-
                                                including a description of the likely                                       Black Lung Benefits Act (30 U.S.C. 901                                      to-month extension while they undergo


                                           VerDate Sep<11>2014         18:54 Dec 27, 2016          Jkt 241001      PO 00000        Frm 00094        Fmt 4703       Sfmt 4703      E:\FR\FM\28DEN1.SGM               28DEN1


                                                                         Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices                                          95649

                                                review. New requirements would only                     SUMMARY:    The Department of Labor                   law, no person shall generally be subject
                                                take effect upon OMB approval.                          (DOL) is submitting the Office of                     to penalty for failing to comply with a
                                                  Interested parties are encouraged to                  Workers’ Compensation Programs                        collection of information that does not
                                                send comments to the OMB, Office of                     (OWCP) sponsored information                          display a valid Control Number. See 5
                                                Information and Regulatory Affairs at                   collection request (ICR) titled, ‘‘Medical            CFR 1320.5(a) and 1320.6. The DOL
                                                the address shown in the ADDRESSES                      Travel Refund Request,’’ to the Office of             obtains OMB approval for this
                                                section within 30 days of publication of                Management and Budget (OMB) for                       information collection under Control
                                                this notice in the Federal Register. In                 review and approval for continued use,                Number 1240–0037.
                                                order to help ensure appropriate                        without change, in accordance with the                   OMB authorization for an ICR cannot
                                                consideration, comments should                          Paperwork Reduction Act (PRA) of 1995                 be for more than three (3) years without
                                                mention OMB Control Number 1240–                        (44 U.S.C. 3501 et seq.).                             renewal, and the current approval for
                                                0032. The OMB is particularly                           DATES: Submit comments on or before                   this collection is scheduled to expire on
                                                interested in comments that:                            January 27, 2017.                                     December 31, 2016; however, the DOL
                                                  • Evaluate whether the proposed                       ADDRESSES: A copy of this ICR with
                                                                                                                                                              notes that existing information
                                                collection of information is necessary                  applicable supporting documentation;                  collection requirements submitted to the
                                                for the proper performance of the                       including a description of the likely                 OMB receive a month-to-month
                                                functions of the agency, including                      respondents, proposed frequency of                    extension while they undergo review.
                                                whether the information will have                       response, and estimated total burden                  New requirements would only take
                                                practical utility;                                      may be obtained free of charge from the               effect upon OMB approval. For
                                                  • Evaluate the accuracy of the                        RegInfo.gov Web site at http://                       additional substantive information
                                                agency’s estimate of the burden of the                  www.reginfo.gov/public/do/                            about this ICR, see the related notice
                                                proposed collection of information,                     PRAViewICR?ref_nbr=201609-1240-001                    published in the Federal Register on
                                                including the validity of the                           (this link will only become active on the             October 24, 2016 (81 FR 73142).
                                                methodology and assumptions used;                                                                                Interested parties are encouraged to
                                                                                                        day following publication of this notice)
                                                  • Enhance the quality, utility, and                   or by contacting Michel Smyth by
                                                                                                                                                              send comments to the OMB, Office of
                                                clarity of the information to be                                                                              Information and Regulatory Affairs at
                                                                                                        telephone at 202–693–4129 (this is not
                                                collected; and                                                                                                the address shown in the ADDRESSES
                                                                                                        a toll-free number) or sending an email
                                                  • Minimize the burden of the                                                                                section within 30 days of publication of
                                                                                                        to DOL_PRA_PUBLIC@dol.gov.
                                                collection of information on those who                                                                        this notice in the Federal Register. In
                                                                                                           Submit comments about this request
                                                are to respond, including through the                                                                         order to help ensure appropriate
                                                                                                        to the Office of Information and
                                                use of appropriate automated,                                                                                 consideration, comments should
                                                                                                        Regulatory Affairs, Attn: OMB Desk
                                                electronic, mechanical, or other                                                                              mention OMB Control Number 1240–
                                                                                                        Officer for DOL–OWCP, Office of
                                                technological collection techniques or                                                                        0037. The OMB is particularly
                                                                                                        Management and Budget, Room 10235,
                                                other forms of information technology,                                                                        interested in comments that:
                                                                                                        725 17th Street NW., Washington, DC
                                                e.g., permitting electronic submission of                                                                        • Evaluate whether the proposed
                                                                                                        20503, Fax: 202–395–6881 (this is not a
                                                responses.                                                                                                    collection of information is necessary
                                                                                                        toll-free number), email: OIRA_
                                                  Agency: DOL–OWCP.                                                                                           for the proper performance of the
                                                                                                        submission@omb.eop.gov. Commenters
                                                  Title of Collection: Request for State                                                                      functions of the agency, including
                                                                                                        are encouraged, but not required, to
                                                or Federal Workers’ Compensation                                                                              whether the information will have
                                                                                                        send a courtesy copy of any comments
                                                Information.                                                                                                  practical utility;
                                                                                                        to the U.S. Department of Labor-                         • Evaluate the accuracy of the
                                                  OMB Control Number: 1240–0032.
                                                                                                        OASAM, Office of the Chief Information                agency’s estimate of the burden of the
                                                  Affected Public: Federal Government;
                                                                                                        Officer, Attn: Information Management                 proposed collection of information,
                                                State, Local, and Tribal Governments.
                                                                                                        Program, Room N1301, 200 Constitution                 including the validity of the
                                                  Total Estimated Number of
                                                                                                        Avenue NW., Washington, DC 20210,                     methodology and assumptions used;
                                                Respondents: 2,000.
                                                  Total Estimated Number of                             email: DOL_PRA_PUBLIC@dol.gov.                           • Enhance the quality, utility, and
                                                Responses: 2,000.                                       FOR FURTHER INFORMATION CONTACT:                      clarity of the information to be
                                                  Total Estimated Annual Burden                         Contact Michel Smyth by telephone at                  collected; and
                                                Hours: 500.                                             202–693–4129 (this is not a toll-free                    • Minimize the burden of the
                                                  Total Estimated Annual Other Costs                    number) or by email at DOL_PRA_                       collection of information on those who
                                                Burden: $1,000.                                         PUBLIC@dol.gov.                                       are to respond, including through the
                                                  Dated: December 21, 2016.                               Authority: 44 U.S.C. 3507(a)(1)(D).                 use of appropriate automated,
                                                                                                                                                              electronic, mechanical, or other
                                                Michel Smyth,                                           SUPPLEMENTARY INFORMATION:
                                                                                                                                                              technological collection techniques or
                                                Departmental Clearance Officer.                         Respondents use Form OWCP–957 to                      other forms of information technology,
                                                [FR Doc. 2016–31387 Filed 12–27–16; 8:45 am]            request reimbursement for out-of-pocket               e.g., permitting electronic submission of
                                                BILLING CODE 4510–CK–P                                  expenses incurred when traveling to                   responses.
                                                                                                        medical providers for covered medical                    Agency: DOL–OWCP.
                                                                                                        testing or treatment. This information                   Title of Collection: Medical Travel
                                                DEPARTMENT OF LABOR                                     collection is subject to the PRA.                     Refund Request.
                                                                                                          A Federal agency generally cannot                      OMB Control Number: 1240–0037.
                                                Office of the Secretary                                 conduct or sponsor a collection of
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                                                                                                                                                                 Affected Public: Individuals or
                                                                                                        information, and the public is generally              Households.
                                                Agency Information Collection                           not required to respond to an                            Total Estimated Number of
                                                Activities; Submission for OMB                          information collection, unless it is                  Respondents: 342,462.
                                                Review; Comment Request; Medical                        approved by the OMB under the PRA                        Total Estimated Number of
                                                Travel Refund Request                                   and displays a currently valid OMB                    Responses: 342,462.
                                                                                                        Control Number. In addition,                             Total Estimated Annual Burden
                                                ACTION:   Notice.
                                                                                                        notwithstanding any other provisions of               Hours: 56,849.


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Document Created: 2016-12-28 02:17:06
Document Modified: 2016-12-28 02:17:06
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesSubmit comments on or before January 27, 2017.
ContactContact Michel Smyth by telephone at 202-693-4129 (this is not a toll-free number) or by email at [email protected]
FR Citation81 FR 95648 

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