Request for 20 CFR 718 specifies that
certain information relative to the medical condition of a claimant
who is alleging the presence of pneumoconiosis be obtained as a
routine function of the claim adjudication process. The medical
specifications in the regulations have been formatted in a variety
of forms to promote efficiency and accuracy in gathering the
required data. These forms were designed to meet the need to gather
medical evidence.
US Code:
30
USC 901 Name of Law: Black Lung Benefits Act of 1977, as
amended
US Code: 30
USC 923(b) Name of Law: Black Lung Benefits Act of 1977, as
emended
The annual number of responses
changed slightly to 30,000 from 27,500, estimated total burden
hours changed to 7,300 hours from 6,693 hours due to the increase
of completing and mailing each form.
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.
Form CM-988 Radiologic Interpretation (CM-933), Radiologic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine Workers' Pneumoconiosis (CM-988), Report of....
Justification - Medical History and Examination for Coal Mine Workers Pneumoconiosis (CM-988).docx
725.406.pdf
Radiologic Interpretation (CM-933), Radiologic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine Workers' Pneumoconiosis (CM-988), Report of....