Operator Controversion, Operator Response, Operator Response to Schedule for Submission of Additional Evidence, and Operator Response to Notice of Claim

ICR 200704-1215-002

OMB: 1215-0058

Federal Form Document

Forms and Documents
Document
Name
Status
Form
Modified
Supporting Statement A
2007-08-20
Supplementary Document
2007-08-08
Supplementary Document
2007-08-08
Supplementary Document
2007-07-11
Supplementary Document
2007-07-11
Supplementary Document
2007-07-11
Supplementary Document
2007-07-11
ICR Details
1215-0058 200704-1215-002
Historical Active 200408-1215-002
DOL/ESA
Operator Controversion, Operator Response, Operator Response to Schedule for Submission of Additional Evidence, and Operator Response to Notice of Claim
Revision of a currently approved collection   No
Regular
Approved without change 12/27/2007
Retrieve Notice of Action (NOA) 08/28/2007
  Inventory as of this Action Requested Previously Approved
12/31/2010 36 Months From Approved 12/31/2007
8,000 0 8,200
2,333 0 1,709
3,520 0 3,000

The CM-2790 & CM-2970a are used for claims filed after January 19, 2001 and indicate that the coal mine operator will submit additional evidence or respond to the notice of claim.

US Code: 30 USC 901 Name of Law: Black Lung Benefits Act
  
None

Not associated with rulemaking

  72 FR 27336 05/15/2007
72 FR 49319 08/28/2007
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 8,000 8,200 0 -200 0 0
Annual Time Burden (Hours) 2,333 1,709 0 -42 666 0
Annual Cost Burden (Dollars) 3,520 3,000 0 0 520 0
No
Yes
Changing Forms
There is an adjustment to the total burden hour estimate which due to a recalculation of burden hours on the CM-2970 (from 10 minutes average response time to 20 minutes). There is a program change reduction resulting from the CM-970 and the CM-970a which have been obsolete and renewal is not requested; these forms were only required in all claims filed on or before January 19, 2001 and are replaced with the CM-2970 and CM-2970A. There is an increase of $520.00 in the operation and maintenance cost due to the increase in postage.

$23,507
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Michael McClaran 202-693-0978 [email protected]

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
08/28/2007


© 2024 OMB.report | Privacy Policy