Notice2026-10386
Proposed Extension of Information Collection; Request for Notice of Issuance of Insurance Policy (CM-921)
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
May 26, 2026
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request 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. Currently, OWCP is soliciting comments on the information collection for Notice of Issuance of Insurance Policy.
Full Text
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<title>Federal Register, Volume 91 Issue 100 (Tuesday, May 26, 2026)</title>
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[Federal Register Volume 91, Number 100 (Tuesday, May 26, 2026)]
[Notices]
[Pages 30728-30729]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-10386]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
[OMB Control No. 1240-0048]
Proposed Extension of Information Collection; Request for Notice
of Issuance of Insurance Policy (CM-921)
AGENCY: Office of Workers' Compensation Programs, Department of Labor.
ACTION: Request for public comments.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a pre-clearance
request for comment to provide the general public and Federal agencies
with an opportunity to comment on proposed collections of information
in accordance with the Paperwork Reduction Act of 1995. This request
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.
Currently, OWCP is soliciting comments on the information collection
for Notice of Issuance of Insurance Policy.
DATES: All comments must be received on or before July 27, 2026.
ADDRESSES: You may submit comments as follows. Please note that late,
untimely filed comments will not be considered.
Electronic Submissions: Submit electronic comments in the following
way:
<bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the instructions for submitting comments for WCPO-2026-0365.
Comments submitted electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> will be posted to the docket, with no changes.
Because your comment will be made public, you are responsible for
ensuring that your comment does not include any confidential
information that you or a third party may not wish to be posted, such
as your or anyone else's Social Security number or confidential
business information.
<bullet> If your comment includes confidential information that you
do not wish to be made available to the public, submit the comment as a
written/paper submission.
Written/Paper Submissions: Submit written/paper submissions in the
following way:
<bullet> Mail/Hand Delivery: Mail or visit DOL-OWCP, Division of
Coal Mine Workers' Compensation, 200 Constitution Avenue NW., Suite
C3520-DCMWC Washington, DC 20210.
<bullet> OWCP will post your comment as well as any attachments,
except for information submitted and marked as confidential, in the
docket at <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers'
Compensation Programs, at <a href="/cdn-cgi/l/email-protection#3043455757431e515e5a515e5544445570545f5c1e575f46"><span class="__cf_email__" data-cfemail="5023253737237e313e3a313e3524243510343f3c7e373f26">[email protected]</span></a> (email).
SUPPLEMENTARY INFORMATION:
I. Background
The Black Lung Benefits Act (the Act), 30 U.S.C. 901-944, requires
coal mine operators to be insured (either by qualifying as a self-
insurer or obtaining commercial insurance) for liabilities arising from
the Act; failure to do so may result in civil money penalties. 30
U.S.C. 933. Accordingly, 20 CFR Part V, Subpart C, 726.208--.213
requires insurance carriers to report to the Division of Coal Mine
Workers' Compensation (DCMWC) each policy and endorsement issued,
cancelled, or renewed with respect to operators in such a manner and on
such form as DCMWC may require. These regulations also require a
carrier to file a separate report for each operator it insures.
Carriers use Form CM-921, Notice of Issuance of Insurance Policy, to
report issuance of insurance policies to operators. This information
collection is currently approved for use through November 30, 2026. 30
U.S.C. 901 and 20 CFR 725.535 authorizes this information collection.
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection related to the Notice of Issuance of Insurance Policy. OWCP/
DCMWC is particularly interested in comments that:
<bullet> Evaluate whether the collection of information is
necessary for the proper performance of the functions of the Agency,
including whether the information has practical utility;
<bullet> Evaluate the accuracy of OWCP's estimate of the burden
related to the information collection, including the validity of the
methodology and assumptions used in the estimate;
<bullet> Suggest methods to enhance the quality, utility, and
clarity of the information to be collected; and
<bullet> Minimize the burden of the information collection on those
who are to respond, including through the use of appropriate automated,
electronic,
[[Page 30729]]
mechanical, or other technological collection techniques or other forms
of information technology, e.g., permitting electronic submission of
responses.
Documents related to this information collection request are
available at <a href="https://regulations.gov">https://regulations.gov</a> and at DOL-OWCP located at 200
Constitution Avenue NW, Room C-3520, Washington, DC 20210. Questions
about the information collection requirements may be directed to the
person listed in the FOR FURTHER INFORMATION section of this notice.
III. Current Actions
This information collection request concerns Notice of Issuance of
Insurance Policy. OWCP has updated the data with respect to the number
of respondents, responses, burden hours, and burden costs supporting
this information collection request from the previous information
collection request.
Type of Review: Extension without change of a currently approved
collection.
Agency: Office of Workers' Compensation Programs.
OMB Number: 1240-0048.
Affected Public: Federal government, State, Local, or Tribal
Government.
Number of Respondents: 3,715.
Number of Responses: 3,715.
Annual Burden Hours: 65 hours.
Annual Respondent or Recordkeeper Cost: $12.00.
OWCP Forms: Notice of Issuance of Insurance Policy, CM-921.
Comments submitted in response to this notice will be summarized in
the request for Office of Management and Budget approval of the
proposed information collection request; they will become a matter of
public record and will be available at <a href="https://www.reginfo.gov">https://www.reginfo.gov</a>.
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2026-10386 Filed 5-22-26; 8:45 am]
BILLING CODE 4510-CR-P
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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.