Notice2021-21912
Agency Information Collection Activities; Comment Request; Miner's Claim for Benefits Under the Black Lung Benefit's Act (CM-911) and Employment History (CM-911A) Division of Coal Mine Workers' Compensation
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
October 7, 2021
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
Currently, the Office of Workers' Compensation Programs is soliciting comments concerning the proposed collection: Miner's Claim for Benefits under the Black Lung Benefit's Act (CM-911) and Employment History (CM-911A). 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.
Full Text
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<title>Federal Register, Volume 86 Issue 192 (Thursday, October 7, 2021)</title>
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[Federal Register Volume 86, Number 192 (Thursday, October 7, 2021)]
[Notices]
[Pages 55862-55863]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-21912]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Miner's Claim for Benefits Under the Black Lung Benefit's Act (CM-911)
and Employment History (CM-911A) Division of Coal Mine Workers'
Compensation
AGENCY: Office of Workers' Compensation Programs.
ACTION: Notice.
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SUMMARY: Currently, the Office of Workers' Compensation Programs is
soliciting comments concerning the proposed collection: Miner's Claim
for Benefits under the Black Lung Benefit's Act (CM-911) and Employment
History (CM-911A). 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: Consideration will be given to all written comments received on
or before December 6, 2021.
ADDRESSES: You may submit comments by mail, delivery service, or by
hand to Ms. Anjanette Suggs, U.S. Department of Labor, 200 Constitution
Ave. NW, Room S-3323, Washington, DC 20210; by fax to (202) 354-9660;
or by Email to <a href="/cdn-cgi/l/email-protection#ce9dbba9a9bde08fa0a4afa0abbabaab8eaaa1a2e0a9a1b8"><span class="__cf_email__" data-cfemail="eebd9b89899dc0af80848f808b9a9a8bae8a8182c0898198">[email protected]</span></a>. 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.
FOR FURTHER INFORMATION: Contact Anjanette Suggs by telephone at 202-
354-9660 or by email at <a href="/cdn-cgi/l/email-protection" class="__cf_email__" data-cfemail="1467617373673a757a7e757a7160607154707b783a737b62">[email protected]</a>.
SUPPLEMENTARY INFORMATION: The Department of Labor, as part of its
continuing effort to reduce paperwork and respondent burden, conducts a
preclearance consultation program to
[[Page 55863]]
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 (BLBA), (30 U.S.C. 901
et seq.) provides benefits to coal miners who are totally disabled due
to pneumoconiosis (black lung disease) and to certain survivors of
miners. Miners entitled to benefits also receive medical benefits for
treatment related to their pneumoconiosis and resulting disability. A
miner who applies for black lung benefits must complete the CM-911
(application form). The completed form gives basic identifying
information about the applicant and is the beginning of the development
of the black lung claim. Title 20 CFR 725.304a authorizes this
information collection. This form, when completed, provides a complete
history of the miner's employment and helps to establish whether the
individual currently or formerly worked in the nation's coal mines and
how long that employment lasted. Title 20 CFR 725.404(a) authorizes
this information collection. This information collection is currently
approved for use through March 31, 2022.
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 carry out its responsibility to administer the Black Lung
Benefits Act.
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.
Agency: Office of Workers' Compensation Programs.
Type of Review: Revision.
Title: Miner's Claim for Benefits under the Black Lung Benefit's
Act (CM-911) and Employment History (CM-911A).
OMB Number: 1240-0038.
Agency Number: CM-911 and CM-911A.
Affected Public: Individuals or households.
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Time to Frequency of Number of Number of
Form complete response respondents responses Hours burden
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CM-911........................ 45 once............ 4,900 4,900 3,675
CM-911A....................... 40 once............ 4,900 4,900 3,266
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Totals.................... .............. ................ 9,800 9,800 6,970
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Total Respondents: 9,800.
Total Annual Responses: 9,800.
Average Time per Response: 42.5 minutes.
Estimated Total Burden Hours: 6,941.
Frequency: On occasion.
Total Burden Cost (capital/startup): $0.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021-21912 Filed 10-6-21; 8:45 am]
BILLING CODE 4510-CK-P
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</html>Indexed from Federal Register on October 7, 2021.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.