Notice2024-20046
Agency Information Collection Activities; Comment Request; Authorization for Release of Medical Information for Black Lung Benefits (CM-936)
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
September 6, 2024
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor (DOL) is soliciting comments concerning a proposed extension for the authority to conduct the information collection request (ICR) titled, "Authorization for Release of Medical Information for Black Lung Benefits (CM-936)". This comment request is part of continuing Departmental efforts to reduce paperwork and respondent burden in accordance with the Paperwork Reduction Act of 1995 (PRA).
Full Text
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<title>Federal Register, Volume 89 Issue 173 (Friday, September 6, 2024)</title>
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[Federal Register Volume 89, Number 173 (Friday, September 6, 2024)]
[Notices]
[Pages 72900-72901]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-20046]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs.
Agency Information Collection Activities; Comment Request;
Authorization for Release of Medical Information for Black Lung
Benefits (CM-936)
AGENCY: Division of Coal Mine Workers' Compensation, Office of Workers'
Compensation Programs.
ACTION: Notice.
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SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a proposed extension for the authority to conduct the
information collection request (ICR) titled, ``Authorization for
Release of Medical Information for Black Lung Benefits (CM-936)''. This
comment request is part of continuing Departmental efforts to reduce
paperwork and respondent burden in accordance with the Paperwork
Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
November 5, 2024.
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 by
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at
<a href="/cdn-cgi/l/email-protection#dfacaab8b8acf1beb1b5beb1baababba9fbbb0b3f1b8b0a9"><span class="__cf_email__" data-cfemail="aedddbc9c9dd80cfc0c4cfc0cbdadacbeecac1c280c9c1d8">[email protected]</span></a>.
Submit written comments about, or requests for a copy of, this ICR
by mail or courier to the U.S. Department of Labor, Office of Workers'
Compensation Programs, Room S3323, 200 Constitution Avenue NW,
Washington, DC 20210; by email: <a href="/cdn-cgi/l/email-protection#ec9f998b8b9fc28d82868d8289989889ac888380c28b839a"><span class="__cf_email__" data-cfemail="3e4d4b59594d105f50545f505b4a4a5b7e5a515210595148">[email protected]</span></a>.
FOR FURTHER INFORMATION CONTACT: Contact Anjanette Suggs by telephone
at 202-354-9660 or by email at <a href="/cdn-cgi/l/email-protection#4e3d3b29293d602f20242f202b3a3a2b0e2a212260292138"><span class="__cf_email__" data-cfemail="93e0e6f4f4e0bdf2fdf9f2fdf6e7e7f6d3f7fcffbdf4fce5">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to
reduce paperwork and respondent burden, conducts a pre-clearance
consultation program to provide the general public and Federal agencies
an opportunity to comment on proposed and/or continuing collections of
information before submitting them to the OMB for final approval. This
program helps to ensure 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 can be properly assessed.
The Black Lung Benefits Act, as amended, 30 U.S.C. 901 et seq., and
20 CFR 725.405 require that all relevant medical evidence be considered
before a decision can be made regarding a claimant's eligibility for
benefits. By signing the CM-936 form, the claimant authorizes
physicians, hospitals, medical facilities or organizations, and the
National Institute for Occupational Safety and Health to release
medical information about the miner to the Department of Labor's Office
of Workers' Compensation Programs. The form contains information
required by medical institutions and private physicians to enable them
to release pertinent medical information. This information collection
is currently approved for use through March 31, 2025.
Interested parties are encouraged to provide comments to the
contact shown in the ADDRESSES section. Written comments will receive
consideration, and summarized and included in the request for OMB
approval of the final ICR. In order to help ensure appropriate
consideration, comments should mention 1240-0034.
Submitted comments will also be a matter of public record for this
ICR and posted on the internet, without redaction. The DOL encourages
commenters not to include personally identifiable information,
confidential business data, or other sensitive statements/information
in any comments.
The DOL is particularly interested in comments that:
<bullet> 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.
<bullet> 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.
<bullet> Enhance the quality, utility, and clarity of the
information to be collected; and
<bullet> Minimize the burden of the collection of information on
those who are to respond, including through the
[[Page 72901]]
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-Office of Workers' Compensation Programs, DCMWC.
Type of Review: Extension of a currently approved collection.
Title of Collection: Authorization for Release of Medical
Information for Black Lung Benefits.
Form: CM-936, Authorization for Release of Medical Information for
Black Lung Benefits.
OMB Control Number: 1240-0034.
Affected Public: Individuals or households; Business or other for
profit; Not-for-profit institutions.
Estimated Number of Respondents: 5,990.
Frequency: On Occasion.
Total Estimated Annual Responses: 5,990.
Estimated Average Time per Response: 20 minutes.
Estimated Total Annual Burden Hours: 1,995 hours.
Total Estimated Annual Other Cost Burden: $0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2024-20046 Filed 9-5-24; 8:45 am]
BILLING CODE 4510-CK-P
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