33376 Federal Register / Vol. 86, No. 119 / Thursday, June 24, 2021 / Notices 

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. 

This ICR seeks approval under the 

PRA for an extension of an existing 

collection titled Request to be Selected 

as Payee (CM–910). If a beneficiary is 

incapable of handling his/her affairs, the 

person or institution responsible for 

their care is required to apply to receive 

the benefit payments on the 

beneficiary’s behalf. The CM 910 is the 

form completed by representative payee 

applicants. The payee applicant 

completes the form and submits it for 

evaluation to the district office that has 

jurisdiction over the beneficiary’s claim 

file. The Black Lung Benefits Act, 30 

U.S.C. 901 and its implementing 

regulations, 20 CFR 725.513(a), 

725.533(e), authorizes this information 

collection. See 30 U.S.C. 936(a). 

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. To help ensure appropriate 

consideration, comments should 

mention 1240–0010. 

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 Department of Labor 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 submissions 

of responses. 

Agency: DOL–OWCP–DCMWC. 

Type of Review: Extension. 

Title of Collection: Request to be 

Selected as Payee. 

Form: Request to be Selected as 

Payee, CM–910. 

OMB Control Number: 1240–0010. 

Affected Public: Individuals or 

households; Business or other for profit; 

Not-for-profit institutions. 

Total Respondents: 200. 

Total Annual Responses: 200. 

Average Time per Response: 15 

minutes. 

Estimated Total Burden Hours: 50 

hours. 

Frequency: On occasion. 

Total Burden Cost (capital/startup): 

$0. 

Total Burden Cost (operating/ 

maintenance): $1,230. 

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

Anjanette Suggs, 

Agency Clearance Officer. 

[FR Doc. 2021–13402 Filed 6–23–21; 8:45 am] 

BILLING CODE 4510–CK–P 

DEPARTMENT OF LABOR 

Office of Workers’ Compensation 

Programs 

Agency Information Collection 

Activities; Comment Request; Request 

for Earnings Information 

AGENCY: Division of Federal Employees’, 

Longshore and Harbor Workers’ 

Compensation, Office of Workers’ 

Compensation Programs, Department of 

Labor. 

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, ‘‘Request 

for Earnings Information.’’ 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 August 

23, 2021. 

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 for free by contacting 

Anjanette Suggs by telephone at 202– 

354–9660 or by email at 

suggs.anjanette@dol.gov. 

Submit written comments about 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; or by email at 

suggs.anjanette@dol.gov. Please note 

that comments submitted after the 

comment period will not be considered. 

FOR FURTHER INFORMATION 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 Longshore 

and Harbor Workers’ Compensation Act 

(LHWCA). The Act provides benefits to 

workers injured in maritime 

employment on the navigable waters of 

the United States or in an adjoining area 

customarily used by an employer in 

loading, unloading, repairing, or 

building a vessel. In addition, several 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 86, No. 119 / Thursday, June 24, 2021 / Notices 33377 

acts extend the Longshore Act’s 

coverage to certain other employees. 

Pursuant to the LHWCA, injured 

employees shall receive compensation 

in an amount equal to 66–2/3 per 

centum of their average weekly wage. 

Form LS–426, Request for Earnings 

Information, is used by district offices to 

collect wage information from injured 

workers to assure payment of 

compensation benefits to injured 

workers at the proper rate. This 

information is needed for determination 

of compensation benefits in accordance 

with section 10 of the LHWCA. This 

information collection is currently 

approved for use through January 31, 

2022. 

Legal authority for this information 

collection is found at 33 U.S.C. 910. 

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 OMB No. 1240–0025. 

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, DFELHWC. 

Type of Review: Extension of 

currently approved collection. 

Title of Collection: Longshore and 

Harbor Workers’ Compensation Act 

Request for Earnings Information. 

Form: LS–426, Request for Earnings 

Information. 

OMB Control Number: 1240–0025. 

Affected Public: Individuals or 

households. 

Estimated Number of Respondents: 

100. 

Frequency: On occasion. 

Total Estimated Annual Responses: 

100. 

Estimated Average Time per 

Response: 15 minutes. 

Estimated Total Annual Burden 

Hours: 25 hours. 

Total Estimated Annual Other Cost 

Burden: $0. 

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

Anjanette Suggs, 

Agency Clearance Officer. 

[FR Doc. 2021–13403 Filed 6–23–21; 8:45 am] 

BILLING CODE 4510–CF–P 

DEPARTMENT OF LABOR 

Office of Workers’ Compensation 

Programs 

Agency Information Collection 

Activities; Comment Request; Notice 

of Termination, Suspension, 

Reduction, or Increase in Benefit 

Payments (CM–908) 

AGENCY: Division of Coal Mine Workers’ 

Compensation, Office of Workers’ 

Compensation Program, Labor. 

ACTION: Notice. 

SUMMARY: The Department of Labor, as 

part of its continuing effort to reduce 

paperwork and respondent burden, 

conducts a pre-clearance consultation 

program to provide the general public 

and Federal agencies with an 

opportunity to comment on proposed 

and/or continuing collections of 

information in accordance with the 

Paperwork Reduction Act of 1995 

(PRA). 

DATES: Consideration will be given to all 

written comments received by August 

23, 2021. 

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, and 200 

Constitution Avenue NW, Washington, 

DC 20210; by email: suggs.anjanette@

dol.gov. 

FOR FURTHER INFORMATION 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. 

This ICR seeks approval under the 

PRA for an extension of an existing 

collection titled Notice of Termination, 

Suspension, Reduction, or Increase in 

Benefit Payments. Coal mine operators, 

their representatives, or their insurers 

who have been identified as responsible 

for paying benefits under the Black 

Lung Benefits Act (BLBA), 30 U.S.C. 901 

et seq., to an eligible miner or an eligible 

surviving dependent of the miner are 

called Responsible Operators (RO’s). 

RO’s that pay benefits are required to 

report any change in the benefit amount 

to the Department of Labor (DOL). The 

CM 908, when completed and sent to 

DOL, notifies DOL of the change in the 

beneficiary’s benefit amount and the 

reason for the change. This information 

collection is required under the BLBA 

and 20 CFR 725.621. 

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 


khammond on DSKJM1Z7X2PROD with NOTICES