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###### Department of Labor

###### Office of the Secretary

# ACTION:

Notice.

# SUMMARY:

                        The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, “Request to be Selected as Payee,” to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501*et seq.*). Public comments on the ICR are invited.                    

# DATES:

The OMB will consider all written comments that agency receives on or before May 1, 2015.

# 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 of charge from the RegInfo.gov Web site at                         *http://www.reginfo.gov/​public/​do/​PRAViewICR?​ref_​nbr=​201412-1240-001*                         (this link will only become active on the day following publication of this notice) or by contacting Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or sending an email to                         *DOL_PRA_PUBLIC@dol.gov*.                    

                        Submit comments about this request by mail or courier to the Office of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW., Washington, DC 20503; by Fax: 202-395-5806 (this is not a toll-free number); or by email:                         *OIRA_submission@omb.eop.gov*. Commenters are encouraged, but not required, to send a courtesy copy of any comments by mail or courier to the U.S. Department of Labor—OASAM, Office of the Chief Information Officer, Attn: Departmental Information Compliance Management Program, Room N1301, 200 Constitution Avenue NW., Washington, DC 20210; or by email:                         *DOL_PRA_PUBLIC@dol.gov*.                    

# FOR FURTHER INFORMATION:

                        Contact Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or sending an email to                         *DOL_PRA_PUBLIC@dol.gov*.                    

Authority:44 U.S.C. 3507(a)(1)(D).

# SUPPLEMENTARY INFORMATION:

                    This ICR seeks approval under the PRA for revisions to the Request to be Selected as Payee information collection. Benefits are payable by the DOL to miners who are totally disabled due to pneumoconiosis and to certain survivors of a miner under the Federal Mine Safety and Health Act of 1977, as amended (30 U.S.C. 901*et seq.*). If a beneficiary is incapable of handling his/her affairs, the person or institution responsible for the beneficiary's care is required to apply to receive the benefit payments on the beneficiary's behalf. A representative payee applicant completes and submits Form CM-910 for evaluation to the district office that has jurisdiction over the beneficiary's claim file. This information collection has been classified as a revision, because of minor clarifications to Form CM-910 to allow applicants better to understand what information they need to provide. In addition, an accommodation statement has been added to Form CM-910 to inform applicants with mental or physical limitations to contact the Division of Coal Mine Workers' Compensation if further assistance is needed in the claims process. The Black Lung Benefits Act authorizes this information collection.                     *See*30 U.S.C. 923, 936.                

                    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 it is approved by the OMB under the PRA 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. The DOL obtains OMB approval for this information collection under Control Number 1240-0010. The current approval is scheduled to expire on May 31, 2015; however, the DOL notes that existing information collection requirements submitted to the OMB receive a month-to-month extension while they undergo review. New requirements would only take effect upon OMB approval. For additional substantive information about this ICR, see the related notice published in the                     **Federal Register**                     on December 10, 2014 (79 FR 73340).                

                    Interested parties are encouraged to send comments to the OMB, Office of Information and Regulatory Affairs at the address shown in the                     **ADDRESSES**                     section within thirty (30) days of publication of this notice in the                     **Federal Register**                    . In order to help ensure appropriate consideration, comments should mention OMB Control Number 1240-0010. The OMB 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-OWCP.                

*Title of Collection:*                     Request to be Selected as Payee.                

*OMB Control Number:*                     1240-0010.                

*Affected Public:*                     Individuals or Households.                

*Total Estimated Number of Respondents:*                     2,300.                

*Total Estimated Number of Responses:*                     2,300.                

*Total Estimated Annual Time Burden:*                     575 hours.                

*Total Estimated Annual Other Costs Burden:*                     $1,196.                

Dated: March 26, 2015.

Michel Smyth,

Departmental Clearance Officer.

[FR Doc. 2015-07432 Filed 3-31-15; 8:45 am]

 BILLING CODE 4510-CK-P