82 FR 47773 - Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment Request
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs Federal Register Volume 82, Issue 197 (October 13, 2017)
Office of Workers' Compensation Programs
Federal Register Volume 82, Issue 197 (October 13, 2017)
| Page Range | 47773-47774 | |
| FR Document | 2017-22164 |
[Federal Register Volume 82, Number 197 (Friday, October 13, 2017)] [Notices] [Pages 47773-47774] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-22164] ----------------------------------------------------------------------- DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Coal Mine Workers' Compensation; Proposed Extension of Existing Collection; Comment Request ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: Currently, the Office of Workers' Compensation Programs is soliciting comments concerning the proposed collection: Report of Changes that May Affect Your Black Lung Benefits (CM-929 and CM-929P). A copy of the proposed information collection request can be obtained by contacting the office listed below in the addresses section of this Notice. 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. DATES: Written comments must be submitted by December 12, 2017. 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 to (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: The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a [[Page 47774]] preclearance 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 (PRA95). I. Background: The Black Lung Benefits Act, 30 U.S.C. 901 et seq., 30 U.S.C. 936 and 941, and its implementing requlations, 20 CFR 725.533(e), authorizes the Division of Coal Mine Workers' Compensation (DCMWC) to collect information regarding payments of compensation to coal miners and other beneficiaries. Once a miner or survivor is found eligible for benefits, the primary beneficiary is requested to report certain changes that may affect benefits. To ensure that there is a review and update of all claims paid from the Black Lung Disability Trust Fund, and from Social Security cases transferred to the Department of Labor under the Black Lung Consolidation of Administrative Responsibilities Act of 2002, and to help the beneficiary comply with the need to report certain changes, the CM-929 is sent to all appropriate primary beneficiaries. The CM-929 is printed by the DCMWC computer system with information specific to each beneficiary, such as name, address, number of dependents on record, state workers' compensation information, and amount of current benefits. The beneficiary reviews the information and certifies that the information is current, or provides updated information. The form includes a warning about potential consequences of failure to report changes. The CM-929P is sent to all beneficiaries who have a representative payee. Compensation is paid to a representative payee on behalf of the beneficiary when the beneficiary is unable to manage his/her benefits due to incapability, incompetence or minority. The CM-929P is printed by the DCMWC computer system with information specific to each beneficiary, such as name, address, number of dependents on record, state workers' compensation information, and amount of benefits. Additionally, representative payees are requested to provide information regarding the use of benefits received, where the beneficiary lives, and ensuring the needs of the beneficiary are being met. The representative payee reviews the information specific to the beneficiary, as well as provides their accounting of the funds received, and certifies that all information is current or provides updated information. The form includes a warning about potential consequences of failure to report changes. This information collection is currently approved for use through December 31, 2017. 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 the approval for the extension of this currently-approved information collection in order to verify the accuracy of information in the beneficiary's claims file, to identify changes in the beneficiary's status, to ensure that the amount of compensation being paid the beneficiary is accurate, and to verify that a representative payee is using benefits received to meet the beneficiary's needs. Agency: Office of Workers' Compensation Programs. Type of Review: Extension. Title: Report of Changes That May Affect Your Black Lung Benefits. OMB Number: 1240-0028. Agency Number: CM-929 and CM-929P. Affected Public: Individuals and Not-for-profit institutions. ---------------------------------------------------------------------------------------------------------------- Time to Frequency of Form complete response Number of Number of Hours burden (minutes) (minutes) respondents responses ---------------------------------------------------------------------------------------------------------------- CM-929........................ 5-8 Annually........ 26,000 26,000 1,999 CM-929P....................... 6-80 Annually........ 3,380 3,380 4,090 --------------------------------------------------------------------------------- Totals.................... 12 ................ 29,380 29,380 6,089 ---------------------------------------------------------------------------------------------------------------- Total Respondents: 29,380. Total Annual Responses: 29,380. Average Time per Response: 12 minutes. Estimated Total Burden Hours: 6,089. Frequency: Annually. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/maintenance): $0. 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: October 3, 2017. Yoon Ferguson, Agency Clearance Officer, Office of Workers' Compensation Programs, US Department of Labor. [FR Doc. 2017-22164 Filed 10-12-17; 8:45 am] BILLING CODE 4510-CK-P
![Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices 47773
Room S–3323, Washington, DC 20210; used when the representative payee is a proposed collection of information,
by fax to (202) 354–9647; or by Email to family member residing with the including the validity of the
ferguson.yoon@dol.gov. Please use only beneficiary. Currently, the methodology and assumptions used;
one method of transmission for representative payee completes the CM– * enhance the quality, utility and
comments (mail/delivery, fax, or Email). 623/CM–623S to provide a final clarity of the information to be
Please note that comments submitted accounting of benefits received on collected; and
after the comment period will not be behalf of the beneficiary. Commonly, * minimize the burden of the
considered. final utilization is due to the death of collection of information on those who
the beneficiary or when there is a are to respond, including through the
SUPPLEMENTARY INFORMATION: The
change in representative payee use of appropriate automated,
Department of Labor, as part of its determination. The CM–787,
continuing effort to reduce paperwork electronic, mechanical, or other
Physician’s/Medical Officer’s Statement technological collection techniques or
and respondent burden, conducts a is used to gather information from the
preclearance consultation program to other forms of information technology,
beneficiary’s physician about the e.g., permitting electronic submissions
provide the general public and Federal capability of the beneficiary to manage
agencies with an opportunity to of responses.
monthly benefits. This form is used by III. Current Actions: The Department
comment on proposed and/or OWCP to determine if it is in the
continuing collections of information in of Labor seeks the approval for the
beneficiary’s best interest to have his/ extension of this currently-approved
accordance with the Paperwork her benefits managed by another party.
Reduction Act of 1995 (PRA95). information collection in order to carry
The regulatory authority for collecting out its responsibility to administer the
I. Background: The Division of Coal this information is in 20 CFR 725.506,
Mine Workers’ Compensation Black Lung Benefits Act.
510, 511, and 513. This information Agency: Office of Workers’
administers the Black Lung Benefits Act collection is currently approved for use
(30 U.S.C. 901 et seq.) which provides Compensation Programs.
through January 31, 2018.
benefits to coal miners totally disabled II. Review Focus: The Department of Type of Review: Extension.
due to pneumoniosis, and their Labor is particularly interested in Title: Representative Payee Report
surviving dependents. The CM–623, comments which: (CM–623), Representative Payee Report,
Representative Payee Report is used to * Evaluate whether the proposed Short Form (CM–623S) and Physician’s/
collect expenditure data regarding the collection of information is necessary Medical Officer’s Statement (CM–787).
disbursement of the beneficiary’s for the proper performance of the OMB Number: 1240–0020.
benefits by the representative payee to functions of the agency, including Agency Number: CM–623, CM–623S
assure that the beneficiary’s needs are whether the information will have and CM–787.
being met. The CM–623S, practical utility; Affected Public: Individuals or
Representative Payee—Short Form, is a * evaluate the accuracy of the households, Business or other for-profit
shortened version of the CM–623 that is agency’s estimate of the burden of the and Not-for-profit institutions.
Time to Frequency Number of Number of
Form Hours burden
complete of response respondents responses
CM–623 ............................................................................... 90 As Needed ..... 300 300 450
CM–623S ............................................................................. 10 As Needed ..... 325 325 54
CM–787 ............................................................................... 15 Once .............. 700 700 175
Totals ............................................................................ ........................ ........................ 1,325 1,325 679
Total Respondents: 1,325. DEPARTMENT OF LABOR financial resources) is minimized,
Total Annual Responses: 1,325. collection instruments are clearly
Average Time per Response: 31 Office of Workers’ Compensation understood, and the impact of collection
minutes. Programs requirements on respondents can be
Estimated Total Burden Hours: 679. properly assessed.
Frequency: On occasion. Division of Coal Mine Workers’ DATES: Written comments must be
Total Burden Cost (capital/startup): Compensation; Proposed Extension of submitted by December 12, 2017.
$0. Existing Collection; Comment Request
ADDRESSES: You may submit comments
Total Burden Cost (operating/ by mail, delivery service, or by hand to
maintenance): $0. ACTION: Notice.
Ms. Yoon Ferguson, U.S. Department of
Comments submitted in response to Labor, 200 Constitution Ave. NW.,
SUMMARY: Currently, the Office of
this notice will be summarized and/or Room S–3323, Washington, DC 20210;
Workers’ Compensation Programs is
included in the request for Office of by fax to (202) 354–9647; or by Email to
soliciting comments concerning the
Management and Budget approval of the ferguson.yoon@dol.gov. Please use only
proposed collection: Report of Changes
information collection request; they will one method of transmission for
asabaliauskas on DSKBBXCHB2PROD with NOTICES
that May Affect Your Black Lung
also become a matter of public record. comments (mail/delivery, fax, or Email).
Benefits (CM–929 and CM–929P). A
Dated: October 3, 2017. copy of the proposed information Please note that comments submitted
Yoon Ferguson, collection request can be obtained by after the comment period will not be
Agency Clearance Officer, Office of Workers’ contacting the office listed below in the considered.
Compensation Programs, U.S. Department of addresses section of this Notice. This SUPPLEMENTARY INFORMATION: The
Labor. program helps to ensure that requested Department of Labor, as part of its
[FR Doc. 2017–22163 Filed 10–12–17; 8:45 am] data can be provided in the desired continuing effort to reduce paperwork
BILLING CODE 4510–CK–P format, reporting burden (time and and respondent burden, conducts a
VerDate Sep<11>2014 18:05 Oct 12, 2017 Jkt 244001 PO 00000 Frm 00087 Fmt 4703 Sfmt 4703 E:\FR\FM\13OCN1.SGM 13OCN1](https://thefederalregister.org/doc/82_FR_47970/page/1.svg)
![47774 Federal Register / Vol. 82, No. 197 / Friday, October 13, 2017 / Notices
preclearance consultation program to consequences of failure to report * evaluate the accuracy of the
provide the general public and Federal changes. agency’s estimate of the burden of the
agencies with an opportunity to The CM–929P is sent to all proposed collection of information,
comment on proposed and/or beneficiaries who have a representative including the validity of the
continuing collections of information in payee. Compensation is paid to a methodology and assumptions used;
accordance with the Paperwork representative payee on behalf of the * enhance the quality, utility and
Reduction Act of 1995 (PRA95). beneficiary when the beneficiary is clarity of the information to be
I. Background: The Black Lung unable to manage his/her benefits due to collected; and
Benefits Act, 30 U.S.C. 901 et seq., 30 incapability, incompetence or minority.
* minimize the burden of the
U.S.C. 936 and 941, and its The CM–929P is printed by the DCMWC
collection of information on those who
implementing requlations, 20 CFR computer system with information
are to respond, including through the
725.533(e), authorizes the Division of specific to each beneficiary, such as
use of appropriate automated,
Coal Mine Workers’ Compensation name, address, number of dependents
(DCMWC) to collect information on record, state workers’ compensation electronic, mechanical, or other
regarding payments of compensation to information, and amount of benefits. technological collection techniques or
coal miners and other beneficiaries. Additionally, representative payees are other forms of information technology,
Once a miner or survivor is found requested to provide information e.g., permitting electronic submissions
eligible for benefits, the primary regarding the use of benefits received, of responses.
beneficiary is requested to report certain where the beneficiary lives, and III. Current Actions: The Department
changes that may affect benefits. To ensuring the needs of the beneficiary are of Labor seeks the approval for the
ensure that there is a review and update being met. The representative payee extension of this currently-approved
of all claims paid from the Black Lung reviews the information specific to the information collection in order to verify
Disability Trust Fund, and from Social beneficiary, as well as provides their the accuracy of information in the
Security cases transferred to the accounting of the funds received, and beneficiary’s claims file, to identify
Department of Labor under the Black certifies that all information is current changes in the beneficiary’s status, to
Lung Consolidation of Administrative or provides updated information. The ensure that the amount of compensation
Responsibilities Act of 2002, and to help form includes a warning about potential being paid the beneficiary is accurate,
the beneficiary comply with the need to consequences of failure to report and to verify that a representative payee
report certain changes, the CM–929 is changes. is using benefits received to meet the
sent to all appropriate primary This information collection is beneficiary’s needs.
beneficiaries. The CM–929 is printed by currently approved for use through Agency: Office of Workers’
the DCMWC computer system with December 31, 2017. Compensation Programs.
information specific to each beneficiary, II. Review Focus: The Department of Type of Review: Extension.
such as name, address, number of Labor is particularly interested in Title: Report of Changes That May
dependents on record, state workers’ comments which: Affect Your Black Lung Benefits.
compensation information, and amount * Evaluate whether the proposed
of current benefits. The beneficiary collection of information is necessary OMB Number: 1240–0028.
reviews the information and certifies for the proper performance of the Agency Number: CM–929 and CM–
that the information is current, or functions of the agency, including 929P.
provides updated information. The form whether the information will have Affected Public: Individuals and Not-
includes a warning about potential practical utility; for-profit institutions.
Time to Frequency of response Number Number
Form complete Hours burden
(minutes) of respondents of responses
(minutes)
CM–929 ............................................. 5–8 Annually ............................................ 26,000 26,000 1,999
CM–929P .......................................... 6–80 Annually ............................................ 3,380 3,380 4,090
Totals ......................................... 12 ........................................................... 29,380 29,380 6,089
Total Respondents: 29,380. Dated: October 3, 2017. ACTION: Notice of information collection.
Total Annual Responses: 29,380. Yoon Ferguson,
Agency Clearance Officer, Office of Workers’ SUMMARY: The National Aeronautics and
Average Time per Response: 12 Space Administration, as part of its
Compensation Programs, US Department of
minutes. continuing effort to reduce paperwork
Labor.
Estimated Total Burden Hours: 6,089. [FR Doc. 2017–22164 Filed 10–12–17; 8:45 am] and respondent burden, invites the
Frequency: Annually. BILLING CODE 4510–CK–P general public and other Federal
Total Burden Cost (capital/startup): agencies to take this opportunity to
$0. comment on proposed and/or
asabaliauskas on DSKBBXCHB2PROD with NOTICES
Total Burden Cost (operating/ continuing information collections, as
NATIONAL AERONAUTICS AND required by the Paperwork Reduction
maintenance): $0. SPACE ADMINISTRATION Act of 1995.
Comments submitted in response to
this notice will be summarized and/or [Notice 17–075] DATES: All comments should be
included in the request for Office of submitted within 30 calendar days from
Notice of Information Collection the date of this publication.
Management and Budget approval of the
information collection request; they will AGENCY:National Aeronautics and ADDRESSES: Interested persons are
also become a matter of public record. Space Administration (NASA). invited to submit written comments
VerDate Sep<11>2014 18:05 Oct 12, 2017 Jkt 244001 PO 00000 Frm 00088 Fmt 4703 Sfmt 4703 E:\FR\FM\13OCN1.SGM 13OCN1](https://thefederalregister.org/doc/82_FR_47970/page/2.svg)
Document Created: 2017-10-13 04:33:08
Document Modified: 2017-10-13 04:33:08
| 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 | Written comments must be submitted by December 12, 2017. | |
| FR Citation | 82 FR 47773 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR