Agency Information Collection Activities; Proposals, Submissions, and Approvals: Representative Payee Report, Representative Payee Report (Short Form), and Physician's/Medical[...]

Agency Information Collection Activities; Submission for OMB Review; Comment Request; Representative Payee Report, Representative Payee Report (Short Form), and Physician's/Medical Officer's Statement

Dates

The OMB will consider all written comments that the agency receives on or before April 29, 2024.

Supplementary Information

Representative Payee Report (CM-623) and Representative Payee Report Short Form (CM-623S) are used to ensure that benefits paid to a representative payee are being used for the beneficiary's well-being. Physician's/Medical Officer's Statement (CM-787) is used to determine the beneficiary's capability to manage monthly Black Lung benefits. For additional substantive information about this ICR, see the related notice published in the Federal Register on January 12, 2024 (89 FR 2254).

Comments are invited on: (1) whether the collection of information is necessary for the proper performance of the functions of the Department, including whether the information will have practical utility; (2) if the information will be processed and used in a timely manner; (3) the accuracy of the agency's estimates of the burden and cost of the collection of information, including the validity of the methodology and assumptions used; (4) ways to enhance the quality, utility and clarity of the information collection; and (5) ways to minimize the burden of the collection of information on those who are to respond, including the use of automated collection techniques or other forms of information technology.

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 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 OMB Control Number. See 5 CFR 1320.5(a) and 1320.6.

DOL seeks PRA authorization for this information collection for three (3) years. OMB authorization for an ICR cannot be for more than three (3) years without renewal. The DOL notes that information collection requirements submitted to the OMB for existing ICRs receive a month-to-month extension while they undergo review.

Agency: DOL-OWCP.

Title of Collection: Representative Payee Report, Representative Payee Report (Short Form), and Physician's/Medical Officer's Statement.

OMB Control Number: 1240-0020.

Affected Public: Individuals or Households.

Total Estimated Number of Respondents: 282.

Total Estimated Number of Responses: 282.

Total Estimated Annual Time Burden: 154 hours.

Total Estimated Annual Other Costs Burden: $192.

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

[FR Doc. 2024-06760 Filed 3-28-24; 8:45 am]

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