83_FR_8941 83 FR 8900 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Representative Payee Report, Representative Payee Report Short Form, and Physician's/Medical Officer's Statement

83 FR 8900 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Representative Payee Report, Representative Payee Report Short Form, and Physician's/Medical Officer's Statement

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 83, Issue 41 (March 1, 2018)

Page Range8900-8901
FR Document2018-04202

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ``Representative Payee Report, Representative Payee Report Short Form, and Physician's/Medical Officer's Statement,'' to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995. Public comments on the ICR are invited.

Federal Register, Volume 83 Issue 41 (Thursday, March 1, 2018) 
[Federal Register Volume 83, Number 41 (Thursday, March 1, 2018)]
[Notices]
[Pages 8900-8901]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-04202]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Representative Payee Report, Representative 
Payee Report Short Form, and Physician's/Medical Officer's Statement

ACTION: Notice of availability; request for comments.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Representative Payee Report, 
Representative Payee Report Short Form, and Physician's/Medical 
Officer's Statement,'' to the Office of Management and Budget (OMB) for 
review and approval for use in accordance with the Paperwork Reduction 
Act (PRA) of 1995. Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before April 2, 2018.

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 website at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201710-1240-001 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 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].

SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Representative Payee Report, Representative Payee 
Report Short Form, and Physician's/Medical Officer's Statement. 
Benefits due to a DOL black lung beneficiary are paid to a 
representative payee on behalf of the beneficiary when he or she is 
unable to manage the benefits due to incapability or incompetence or 
because the beneficiary is a minor. The Representative Payee Report 
(Form CM-623) and Representative Payee Report Short Form (Form CM-623S) 
are used to ensure that benefits paid to a representative payee are 
used for the beneficiary's well-being. The Physician's/Medical 
Officer's Statement (Form CM-787) is used to determine the 
beneficiary's capability to manage monthly black lung benefits. This

[[Page 8901]]

information collection has been classified as a revision, because the 
agency is clarifying questions and disclosures. The Black Lung Benefits 
Act authorizes this information collection. See 30 U.S.C. 922.
    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 1240-0020. 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 
October 13, 2017 (82 FR 47772).
    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 1240-0020. 
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: Representative Payee Report, Representative 
Payee Report Short Form, and Physician's/Medical Officer's Statement.
    OMB Control Number: 1240-0020.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 1,325.
    Total Estimated Number of Responses: 1,325.
    Total Estimated Annual Time Burden: 679 hours.
    Total Estimated Annual Other Costs Burden: $0.

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

Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2018-04202 Filed 2-28-18; 8:45 am]
 BILLING CODE 4510-CK-P

8900 Federal Register / Vol. 83, No. 41 / Thursday, March 1, 2018 / Notices of People with Disabilities information functions of the agency, including Management and Budget (OMB) for collection to examine employer whether the information will have review and approval for use in perceptions of their efforts to employ practical utility; accordance with the Paperwork individuals with disabilities. Knowing • Evaluate the accuracy of the Reduction Act (PRA) of 1995. Public this information will enhance the ability agency’s estimate of the burden of the comments on the ICR are invited. of the ODEP to engage employers on proposed collection of information, DATES: The OMB will consider all how to hire, retain, and promote including the validity of the written comments that agency receives individuals with disabilities. The ODEP methodology and assumptions used; on or before April 2, 2018. has the ability to reach out to employers • Enhance the quality, utility, and ADDRESSES: A copy of this ICR with through its public education campaigns clarity of the information to be applicable supporting documentation; and technical assistance centers, as well collected; and including a description of the likely as engage the business community • Minimize the burden of the respondents, proposed frequency of directly. Assessing employer attitudes collection of information on those who response, and estimated total burden towards hiring and retaining individuals are to respond, including through the may be obtained free of charge from the with disabilities will increase the use of appropriate automated, RegInfo.gov website at http:// ODEP’s understanding of employer electronic, mechanical, or other www.reginfo.gov/public/do/ successes and concerns, as well as more technological collection techniques or PRAViewICR?ref_nbr=201710-1240-001 effectively to share best practices in other forms of information technology, or by contacting Michel Smyth by hiring, retaining, and promoting e.g., permitting electronic submission of telephone at 202–693–4129, TTY 202– individuals with disabilities. This study responses. 693–8064, (these are not toll-free will answer research questions with Agency: DOL–ODEP. numbers) or sending an email to DOL_ regard to current employer practices and Title of Collection: Survey of PRA_PUBLIC@dol.gov. attitudes towards employment of people Employer Policies on the Employment Submit comments about this request with disabilities (disability of People with Disabilities. by mail to the Office of Information and employment’); barriers and facilitators OMB ICR Reference Number: 201709– Regulatory Affairs, Attn: OMB Desk of disability employment; the impact of 1230–001. Officer for DOL—OWCP, Office of accommodations and technology on Affected Public: Private Sector— Management and Budget, Room 10235, employer perceptions and attitudes businesses or other for-profits and not- 725 17th Street NW, Washington, DC towards disability employment; and for-profit institutions. 20503; by Fax: 202–395–5806 (this is sources of disability employment- Total Estimated Number of not a toll-free number); or by email: related information for employers. Respondents: 12,240. OIRA_submission@omb.eop.gov. Consolidated Appropriations Act of Total Estimated Number of Commenters are encouraged, but not 2001 section Appendix A–HR 5656 Responses: 17,250. Total Estimated Annual Time Burden: required, to send a courtesy copy of any authorizes this information collection. comments by mail or courier to the U.S. See Public Law 106–554. 2,136 hours. Total Estimated Annual Other Costs Department of Labor—OASAM, Office This proposed information collection of the Chief Information Officer, Attn: is subject to the PRA. A Federal agency Burden: $0. Departmental Information Compliance generally cannot conduct or sponsor a Authority: 44 U.S.C. 3507(a)(1)(D). Management Program, Room N1301, collection of information, and the public Dated: February 26, 2018. 200 Constitution Avenue NW, is generally not required to respond to Washington, DC 20210; or by email: Michel Smyth, an information collection, unless it is DOL_PRA_PUBLIC@dol.gov. approved by the OMB under the PRA Departmental Clearance Officer. [FR Doc. 2018–04196 Filed 2–28–18; 8:45 am] FOR FURTHER INFORMATION CONTACT: and displays a currently valid OMB Control Number. In addition, BILLING CODE 4510–HX–P Michel Smyth by telephone at 202–693– notwithstanding any other provisions of 4129, TTY 202–693–8064, (these are not law, no person shall generally be subject toll-free numbers) or sending an email to penalty for failing to comply with a DEPARTMENT OF LABOR to DOL_PRA_PUBLIC@dol.gov. collection of information if the SUPPLEMENTARY INFORMATION: This ICR Office of the Secretary seeks approval under the PRA for collection of information does not display a valid Control Number. See 5 revisions to the Representative Payee Agency Information Collection Report, Representative Payee Report CFR 1320.5(a) and 1320.6. For Activities; Submission for OMB additional information, see the related Short Form, and Physician’s/Medical Review; Comment Request; Officer’s Statement. Benefits due to a notice published in the Federal Register Representative Payee Report, on May 23, 2017 (82 FR 23607). DOL black lung beneficiary are paid to Representative Payee Report Short a representative payee on behalf of the Interested parties are encouraged to Form, and Physician’s/Medical send comments to the OMB, Office of beneficiary when he or she is unable to Officer’s Statement manage the benefits due to incapability Information and Regulatory Affairs at the address shown in the ADDRESSES ACTION:Notice of availability; request or incompetence or because the section within thirty (30) days of for comments. beneficiary is a minor. The publication of this notice in the Federal Representative Payee Report (Form CM– Register. In order to help ensure SUMMARY: The Department of Labor 623) and Representative Payee Report appropriate consideration, comments (DOL) is submitting the Office of Short Form (Form CM–623S) are used to amozie on DSK30RV082PROD with NOTICES should mention OMB ICR Reference Workers’ Compensation Programs ensure that benefits paid to a Number 201709–1230–001. The OMB is (OWCP) sponsored information representative payee are used for the particularly interested in comments collection request (ICR) revision titled, beneficiary’s well-being. The that: ‘‘Representative Payee Report, Physician’s/Medical Officer’s Statement • Evaluate whether the proposed Representative Payee Report Short (Form CM–787) is used to determine the collection of information is necessary Form, and Physician’s/Medical Officer’s beneficiary’s capability to manage for the proper performance of the Statement,’’ to the Office of monthly black lung benefits. This VerDate Sep<11>2014 17:26 Feb 28, 2018 Jkt 244001 PO 00000 Frm 00071 Fmt 4703 Sfmt 4703 E:\FR\FM\01MRN1.SGM 01MRN1

Federal Register / Vol. 83, No. 41 / Thursday, March 1, 2018 / Notices 8901 information collection has been Title of Collection: Representative Management and Budget, Room 10235, classified as a revision, because the Payee Report, Representative Payee 725 17th Street NW, Washington, DC agency is clarifying questions and Report Short Form, and Physician’s/ 20503; by Fax: 202–395–5806 (this is disclosures. The Black Lung Benefits Medical Officer’s Statement. not a toll-free number); or by email: Act authorizes this information OMB Control Number: 1240–0020. OIRA_submission@omb.eop.gov. collection. See 30 U.S.C. 922. Affected Public: Individuals or Commenters are encouraged, but not This information collection is subject Households. required, to send a courtesy copy of any to the PRA. A Federal agency generally Total Estimated Number of comments by mail or courier to the U.S. cannot conduct or sponsor a collection Respondents: 1,325. Department of Labor—OASAM, Office of information, and the public is Total Estimated Number of of the Chief Information Officer, Attn: generally not required to respond to an Responses: 1,325. Departmental Information Compliance information collection, unless it is Total Estimated Annual Time Burden: Management Program, Room N1301, approved by the OMB under the PRA 679 hours. 200 Constitution Avenue NW, and displays a currently valid OMB Total Estimated Annual Other Costs Washington, DC 20210; or by email: Control Number. In addition, Burden: $0. DOL_PRA_PUBLIC@dol.gov. notwithstanding any other provisions of Authority: 44 U.S.C. 3507(a)(1)(D). FOR FURTHER INFORMATION CONTACT: law, no person shall generally be subject Michel Smyth by telephone at 202–693– to penalty for failing to comply with a Michel Smyth, 4129, TTY 202–693–8064, (these are not collection of information that does not Departmental Clearance Officer. toll-free numbers) or sending an email display a valid Control Number. See 5 [FR Doc. 2018–04202 Filed 2–28–18; 8:45 am] to DOL_PRA_PUBLIC@dol.gov. CFR 1320.5(a) and 1320.6. The DOL BILLING CODE 4510–CK–P SUPPLEMENTARY INFORMATION: This ICR obtains OMB approval for this information collection under Control seeks to extend PRA authority for the Number 1240–0020. The DOL notes that Telephone Point of Purchase Survey DEPARTMENT OF LABOR existing information collection (TPOPS) information collection. The requirements submitted to the OMB Office of the Secretary BLS administers the survey quarterly receive a month-to-month extension via a computer-assisted-telephone- while they undergo review. New Agency Information Collection interview. This survey is flexible and requirements would only take effect Activities; Submission for OMB creates the possibility of introducing upon OMB approval. For additional Review; Comment Request; Telephone new products into the CPI in a timely substantive information about this ICR, Point of Purchase Survey manner. The data collected in this see the related notice published in the survey are necessary for the continuing ACTION:Notice of availability; request construction of a current outlet universe Federal Register on October 13, 2017 for comments. from which locations are selected for (82 FR 47772). Interested parties are encouraged to the price collection needed for SUMMARY: The Department of Labor calculating the CPI. Furthermore, the send comments to the OMB, Office of (DOL) is submitting the Bureau of Labor Information and Regulatory Affairs at TPOPS provides the weights used in Statistics (BLS) sponsored information selecting the items that are priced at the address shown in the ADDRESSES collection request (ICR) titled, section within thirty (30) days of these establishments. This sample ‘‘Telephone Point of Purchase Survey,’’ design produces an overall CPI market publication of this notice in the Federal to the Office of Management and Budget Register. In order to help ensure basket that is more reflective of the (OMB) for review and approval for prices faced and the establishments appropriate consideration, comments continued use, without change, in should mention OMB Control Number visited by urban consumers. The BLS accordance with the Paperwork Authorizing Statute authorizes this 1240–0020. The OMB is particularly Reduction Act (PRA) of 1995. Public interested in comments that: information collection. See 29 U.S.C. 2. comments on the ICR are invited. This information collection is subject • Evaluate whether the proposed DATES: The OMB will consider all to the PRA. A Federal agency generally collection of information is necessary written comments that agency receives cannot conduct or sponsor a collection for the proper performance of the on or before April 2, 2018. of information, and the public is functions of the agency, including whether the information will have ADDRESSES: A copy of this ICR with generally not required to respond to an practical utility; applicable supporting documentation; information collection, unless it is • Evaluate the accuracy of the including a description of the likely approved by the OMB under the PRA agency’s estimate of the burden of the respondents, proposed frequency of and displays a currently valid OMB proposed collection of information, response, and estimated total burden Control Number. In addition, including the validity of the may be obtained free of charge from the notwithstanding any other provisions of methodology and assumptions used; RegInfo.gov website at http:// law, no person shall generally be subject • Enhance the quality, utility, and www.reginfo.gov/public/do/ to penalty for failing to comply with a clarity of the information to be PRAViewICR?ref_nbr=201710-1220-001 collection of information that does not collected; and (this link will only become active on the display a valid Control Number. See 5 • Minimize the burden of the day following publication of this notice) CFR 1320.5(a) and 1320.6. The DOL collection of information on those who or by contacting Michel Smyth by obtains OMB approval for this are to respond, including through the telephone at 202–693–4129, TTY 202– information collection under Control amozie on DSK30RV082PROD with NOTICES use of appropriate automated, 693–8064, (these are not toll-free Number 1220–0044. The current electronic, mechanical, or other numbers) or sending an email to DOL_ approval is scheduled to expire on technological collection techniques or PRA_PUBLIC@dol.gov. March 31, 2018; however, the DOL other forms of information technology, Submit comments about this request notes that existing information e.g., permitting electronic submission of by mail to the Office of Information and collection requirements submitted to the responses. Regulatory Affairs, Attn: OMB Desk OMB receive a month-to-month Agency: DOL—OWCP. Officer for DOL—BLS, Office of extension while they undergo review. VerDate Sep<11>2014 17:26 Feb 28, 2018 Jkt 244001 PO 00000 Frm 00072 Fmt 4703 Sfmt 4703 E:\FR\FM\01MRN1.SGM 01MRN1


Document Created: 2018-02-28 23:58:13
Document Modified: 2018-02-28 23:58:13
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 of availability; request for comments.
DatesThe OMB will consider all written comments that agency receives on or before April 2, 2018.
ContactMichel 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 Citation83 FR 8900 
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