Federal Register / Vol. 89, No. 9 / Friday, January 12, 2024 / Notices 2255 

clearly understood, and the impact of 

collection requirements can be properly 

assessed. 

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. 

The Black Lung Benefits Act, 30 U.S.C. 

922, authorizes this information 

collection. authorizes this information 

collection. 

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 the OMB 

under the PRA approves it 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. 

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 1240–0020. 

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: 

• 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-Office of Workers’ 

Compensation Programs. 

Type of Review: Extension. 

Title of Collection: Representative 

Payee Report, Representative Payee 

Report (Short Form), and Physician’s/ 

Medical Officer’s Statement. 

Form: Representative Payee Report 

(CM–623), Representative Payee Report 

(Short Form) (CM–623S) and 

Physician’s/Medical Officer’s Statement 

(CM–787). 

OMB Control Number: 1240–0020. 

Affected Public: Individuals or 

Households. 

Estimated Number of Respondents: 

282. 

Frequency: Occasionally. 

Total Estimated Annual Responses: 

282. 

Estimated Average Time per 

Response: 10–90 minutes. 

Estimated Total Annual Burden 

Hours: 153 hours. 

Total Estimated Annual Other Cost 

Burden: $192.00. 

Authority: 44 U.S.C. 3506(c)(2)(A). 

Dated: January 8, 2024. 

Anjanette Suggs, 

Agency Clearance Officer. 

[FR Doc. 2024–00490 Filed 1–11–24; 8:45 am] 

BILLING CODE 4510–CK–P 

DEPARTMENT OF LABOR 

Office of the Workers’ Compensation 

Programs 

Agency Information Collection 

Activities; Comment Request; 

Certification of Medical Necessity 

AGENCY: Division of Coal Mine Workers’ 

Compensation. 

ACTION: Notice. 

SUMMARY: The Department of Labor 

(DOL) is soliciting comments 

concerning a proposed extension for the 

authority to conduct the information 

collection request (ICR) titled, 

‘‘Certification of Medical Necessity’’. 

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 March 

12, 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 

suggs.anjanette@dol.gov. 

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: suggs.anjanette@

dol.gov. 

FOR FURTHER INFORMATION CONTACT: 

Contact Anjanette Suggs by telephone at 

202–354–9660 or by email at 

suggs.anjanette@dol.gov. 

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 Office of Workers’ Compensation 

Programs administers the Federal Black 

Lung Compensation Program. The Black 

Lung Benefits Act (30 U.S.C. 901et seq.) 

and its implementing regulations 

necessitate this information collection. 

The regulations at 20 CFR 725.701 set 

out a miner’s eligibility for medical 

services and supplies for the length of 

time required by the miner’s 

pneumoconiosis and related disability. 

The regulations require prior approval 

before ordering medical equipment 

where the purchase price exceeds 

$300.00. 20 CFR 725.705. The 

regulations also provide for the ongoing 

supervision of the miner’s medical care, 

including the necessity, character and 

sufficiency of care to be furnished; gives 

the Office of Workers’ Compensation 

Programs authority to request medical 

reports; and indicates the right to refuse 

payment for failing to submit any report 

required. 20 CFR 725.706. To 


khammond on DSKJM1Z7X2PROD with NOTICES
2256 Federal Register / Vol. 89, No. 9 / Friday, January 12, 2024 / Notices 

implement the statute and these 

regulations, it was necessary to devise a 

form to collect the required information. 

The form is the CM–893, Certification of 

Medical Necessity, which is completed 

by the miner’s physician and is used by 

the Division of Coal Mine Workers’ 

Compensation to determine if the miner 

meets the standards to qualify for 

durable medical equipment and home 

nursing. OMB has currently approved 

this information collection for use 

through May 31, 2024. 

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 the OMB 

under the PRA approves it 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. 

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 1240–0024. 

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: 

• 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-Office of Workers’ 

Compensation Programs. 

Type of Review: Extension. 

Title of Collection: Certification of 

Medical Necessity. 

Form: CM–893. 

OMB Control Number: 1240–0024. 

Affected Public: Individuals or 

households; Business or other for profit, 

and not for profit institutions. 

Estimated Number of Respondents: 

1,500. 

Frequency: On occasion. 

Total Estimated Annual Responses: 

1,500. 

Estimated Average Time per 

Response: 20–40 minutes. 

Estimated Total Annual Burden 

Hours: 563 hours. 

Total Estimated Annual Other Cost 

Burden: $0.0. 

Authority: 44 U.S.C. 3506(c)(2)(A). 

Dated: January 8, 2024. 

Anjanette Suggs, 

Agency Clearance Officer. 

[FR Doc. 2024–00489 Filed 1–11–24; 8:45 am] 

BILLING CODE 4510–CK–P 

NATIONAL FOUNDATION ON THE 

ARTS AND THE HUMANITIES 

Institute of Museum and Library 

Services 

Submission for OMB Review, 

Comment Request, Proposed 

Collection: Native American Library 

Services Basic Grant Program Notice 

of Funding Opportunity 

AGENCY: Institute of Museum and 

Library Services, National Foundation 

on the Arts and the Humanities. 

ACTION: Submission for OMB Review, 

comments request, collection of 

information. 

SUMMARY: The Institute of Museum and 

Library Services (IMLS) announces that 

the following information collection has 

been submitted to the Office of 

Management and Budget (OMB) for 

review and approval in accordance with 

the Paperwork Reduction Act. 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. This Notice proposes 

the renewal of the clearance of the 

Native American Library Services Basic 

Grant Program, a discretionary grant 

program designed to assist Native 

American tribes in improving library 

services for their communities. A copy 

of the proposed information collection 

request can be obtained by contacting 

the individual listed below in the FOR

FURTHER INFORMATION CONTACT section of 

this Notice. 

DATES: Written comments must be 

submitted to the office listed in the 

ADDRESSES section below on or before 

February 14, 2024. 

ADDRESSES: Written comments and 

recommendations for proposed 

information collection requests should 

be sent within 30 days of publication of 

this Notice to www.reginfo.gov/public/ 

do/PRAMain. Find this particular 

information collection request by 

selecting ‘‘Institute of Museum and 

Library Services’’ under ‘‘Currently 

Under Review;’’ then check ‘‘Only Show 

ICR for Public Comment’’ checkbox. 

Once you have found this information 

collection request, select ‘‘Comment,’’ 

and enter or upload your comment and 

information. Alternatively, please mail 

your written comments to Office of 

Information and Regulatory Affairs, 

Attn.: OMB Desk Officer for Education, 

Office of Management and Budget, 

Room 10235, Washington, DC 20503, or 

call (202) 395–7316. 

OMB is particularly interested in 

comments that help the agency to: 

• 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). 

FOR FURTHER INFORMATION CONTACT: 

Jennifer Himmelreich, Senior Program 

Officer, Office of Library Services, 

Institute of Museum and Library 

Services, 955 L’Enfant Plaza North SW, 

Suite 4000, Washington DC 20024– 

2135. Ms. Himmelreich can be reached 

by telephone at 202–653–4797, or by 

email at jhimmelreich@imls.gov. 

Persons who are deaf or hard of hearing 

(TTY users) can contact IMLS at 202– 


khammond on DSKJM1Z7X2PROD with NOTICES