[Federal Register Volume 61, Number 176 (Tuesday, September 10, 1996)]
[Notices]
[Page 47772]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 96-23051]
[[Page 47772]]
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DEPARTMENT OF LABOR
Office of the Secretary
Submission for OMB Review; Comment Request
September 3, 1996.
The Department of Labor (DOL) has submitted the following public
information collection requests (ICRs) to the Office of Management and
Budget (OMB) for review and approval in accordance with the Paperwork
Reduction Act of 1995 (P.L. 104-13, 44 U.S.C. Chapter 35). Copies of
these individual ICRs, with applicable supporting documentation, may be
obtained by calling the Department of Labor Acting Departmental
Clearance Officer, Theresa M. O'Malley ({202} 219-5095). Individuals
who use a telecommunications device for the deaf (TTY/TDD) may call
{202} 219-4720 between 1:00 p.m. and 4:00 p.m. Eastern time, Monday
through Friday.
Comments should be sent to Office of Information and Regulatory
Affairs, Attn: OMB Desk Officer for (BLS/DM/ESA/ETA/OAW/MSHA/OSHA/PWBA/
VETS), Office of management and Budget, Room 10235, Washington, DC
20503 ({202} 395-7316), within 30 days from the date of this
publication in the Federal Register.
The OMB 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
submission of responses.
Agency: Employment Standards Administration.
Title: Certificate of Medical Necessity.
OMB Number: 1215-0113.
Agency Number: CM-893.
Frequency: On occasion.
Affected Public: Business or other-for-profit; Not-for-profit
institutions.
Number of Respondents: 7,000.
Estimated Time per Response: 40 minutes.
Total Burden Hours: 2,799.
Total Respondent Cost (capital/startup): 0.
Total Respondent Cost (operating and maintenance): 0.
Description: Form Cm-893, Certificate of Medical Necessity, is
completed by the miner's doctor and is used by the Division of Coal
Miners Workers' Compensation (DCMWC) to determine if the miner meets
the specific impairment standard to quality for durable medical
equipment, home nursing care and/or pulmonary rehabilitation. Without
the information provided, the DCMWC could not carry out its
responsibility to determine eligibility for black lung medical
benefits.
Theresa M. O'Malley,
Acting Departmental Clearance Officer.
[FR Doc. 96-23051 Filed 9-9-96; 8:45 am]
BILLING CODE 4510-27-M
