• Publication Date:
  • Publication Type:
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  • Title:
    Submission for OMB Review; Comment Request


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.


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]