60-day FRN (1240-0020) published

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Federal Register / Vol. 85, No. 250 / Wednesday, December 30, 2020 / Notices

December 19, 2020. The state will
remain in an ‘‘off’’ period for a
minimum of 13 weeks.
• Based on the data submitted by
Vermont for the week ending November
28, 2020, Vermont’s 13-week IUR was
4.90 percent, falling below the 5.0
percent IUR threshold necessary to
remain ‘‘on’’ EB. Therefore, the EB
period for Vermont ends on December
19, 2020. The state will remain in an
‘‘off’’ period for a minimum of 13
weeks.
The trigger notice covering state
eligibility for the EB program can be
found at: http://ows.doleta.gov/
unemploy/claims_arch.as
Information for Claimants
The duration of benefits payable in
the EB program, and the terms and
conditions on which they are payable,
are governed by the Federal-State
Extended Unemployment Compensation
Act of 1970, as amended, and the
operating instructions issued to the
states by the U.S. Department of Labor.
In the case of a state beginning an EB
period, the State Workforce Agency will
furnish a written notice of potential
entitlement to each individual who has
exhausted all rights to regular benefits
and is potentially eligible for EB (20
CFR 615.13(c)(1)).
Persons who believe they may be
entitled to EB, or who wish to inquire
about their rights under the program,
should contact their State Workforce
Agency.
Signed in Washington, DC.
John Pallasch,
Assistant Secretary for Employment and
Training.
[FR Doc. 2020–28794 Filed 12–29–20; 8:45 am]
BILLING CODE 4510–FW–P

DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request;
Representative Payee Report,
Representative Payee Report (Short
Form), and Physician’s/Medical
Officer’s Statement
Notice of availability; request
for comments.

ACTION:

The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension of the
information collection request (ICR)
titled, ‘‘Representative Payee Report,
Representative Payee Report (Short
Form), and Physician’s/Medical

SUMMARY:

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Officer’s Statement.’’ 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 March 1,
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 (this is not a toll-free number)
or by email at [email protected].
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
Program, Division of Coal Mine
Workers’ Compensation, Room N1301,
200 Constitution Avenue NW,
Washington, DC 20210; by email:
[email protected].
FOR FURTHER INFORMATION CONTACT:
Contact Anjanette Suggs by telephone at
(202) 354–9660 (this is not a toll-free
number) 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.
Benefits due to a DOL Black Lung
beneficiary are paid to a representative
payee on behalf of the beneficiary when
he or she is unable to manage the
benefits due to incapability or
incompetence or because the beneficiary
is a minor. The Representative Payee
Report (Form CM–623) and
Representative Payee Report Short Form
(Form CM–623S) are used to ensure that
benefits paid to a representative payee
are used for the beneficiary’s well-being.
The Physician’s/Medical Officer’s
Statement (Form CM–787) is used to
determine the beneficiary’s capability to
manage monthly black lung benefits.
The Black Lung Benefits Act, 30 U.S.C.
922, authorizes this information
collection.

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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 it is
approved by the OMB under the PRA
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. Comments
must be written to receive
consideration, and they will be
summarized and included in the request
for OMB approval of the final ICR. In
order to help ensure appropriate
consideration, comments should
mention 1240–0020.
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–OWCP.
Type of Review: Extension.
Title of Collection: Representative
Payee Report, Representative Payee
Report (Short Form), and Physician’s/
Medical Officer’s Statement.
Form: Representative Payee Report
(CM–623), Representative Payee Report
(Short Form) (CM–623S) and

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Federal Register / Vol. 85, No. 250 / Wednesday, December 30, 2020 / Notices
Physician’s/Medical Officer’s Statement
(CM–787).
OMB Control Number: 1240–0020.
Affected Public: Individuals or
Households.
Estimated Number of Respondents:
1,325.
Frequency: Annual.
Total Estimated Annual Responses:
1,325.
Estimated Average Time per
Response: Varies.
Estimated Total Annual Burden
Hours: 679 hours.
Total Estimated Annual Other Cost
Burden: $0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2020–28897 Filed 12–29–20; 8:45 am]
BILLING CODE 4510–CK–P

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: Application for
Refund of Retirement Deductions, SF
3106 and Current/Former Spouse(s)
Notification of Application for Refund
of Retirement Deductions Under FERS,
SF 3106A
Office of Personnel
Management.
ACTION: 60-Day notice and request for
comments.
AGENCY:

Retirement Services, Office of
Personnel Management (OPM) offers the
general public and other federal
agencies the opportunity to comment on
a revised information collection request
(ICR), Application for Refund of
Retirement Deductions, Federal
Employees Retirement System, SF 3106
and Current/Former Spouse’s
Notification of Application for Refund
of Retirement Deductions under FERS,
SF 3106A.
DATES: Comments are encouraged and
will be accepted until March 1, 2021.
ADDRESSES: You may submit comments,
identified by docket number and/or
Regulatory Information Number (RIN)
and title, by the following method:
—Federal Rulemaking Portal:http://
www.regulations.gov. Follow the
instructions for submitting comments.
All submissions received must
include the agency name and docket
number or RIN for this document. The
general policy for comments and other
submissions from members of the public
is to make these submissions available
for public viewing at http://
www.regulations.gov as they are
received without change, including any
SUMMARY:

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personal identifiers or contact
information.
A
copy of this ICR with applicable
supporting documentation, may be
obtained by contacting the Retirement
Services Publications Team, Office of
Personnel Management, 1900 E Street
NW, Room 3316–L, Washington, DC
20415, Attention: Cyrus S. Benson, or
sent via electronic mail to
[email protected] or faxed to
(202) 606–0910 or via telephone at (202)
606–4808.
SUPPLEMENTARY INFORMATION: As
required by the Paperwork Reduction
Act of 1995 (Pub. L. 104–13, 44 U.S.C.
chapter 35) as amended by the ClingerCohen Act (Pub. L. 104–106), OPM is
soliciting comments for this collection
(OMB No. 3206–0121). The Office of
Management and Budget is particularly
interested in comments that:
1. Evaluate whether the proposed
collection of information is necessary
for the proper performance of functions
of the agency, including whether the
information will have practical utility;
2. 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;
3. Enhance the quality, utility, and
clarity of the information to be
collected; and
4. 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.
Standard Form 3106, Application for
Refund of Retirement Deductions under
FERS is used by former Federal
employees under FERS, to apply for a
refund of retirement deductions
withheld during Federal employment,
plus any interest provided by law.
Standard Form 3106A, Current/Former
Spouse(s) Notification of Application
for Refund of Retirement Deductions
under FERS, is used by refund
applicants to notify their current/former
spouse(s) that they are applying for a
refund of retirement deductions, which
is required by law.
FOR FURTHER INFORMATION CONTACT:

Analysis
Agency: Retirement Operations,
Retirement Services, Office of Personnel
Management.
Title: Application for Refund of
Retirement Deductions (FERS) and
Current/Former Spouse’s Notification of

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86583

Application for Refund of Retirement
Deductions under FERS.
OMB Number: 3206–0170.
Frequency: On occasion.
Affected Public: Individuals or
Households.
Number of Respondents: SF 3106 =
8,000; SF 3106A = 6,400.
Estimated Time per Respondent: SF
3106 = 30 minutes; SF 3106A = 5
minutes.
Total Burden Hours: 4,533.
Office of Personnel Management.
Alexys Stanley,
Regulatory Affairs Analyst.
[FR Doc. 2020–28900 Filed 12–29–20; 8:45 am]
BILLING CODE 6325–38–P

OFFICE OF PERSONNEL
MANAGEMENT
Submission for Review: 3206–0121,
Application for Deferred Retirement
(for Persons Separated on or After
October 1, 1956), OPM 1496A
Office of Personnel
Management.
ACTION: 60-Day notice and request for
comments.
AGENCY:

Retirement Services, Office of
Personnel Management (OPM) offers the
general public and other federal
agencies the opportunity to comment on
a revised information collection request
(ICR), Application for Deferred
Retirement (for Persons Separated on or
after October 1, 1956), OPM 1496A.
DATES: Comments are encouraged and
will be accepted until March 1, 2021.
ADDRESSES: You may submit comments,
identified by docket number and/or
Regulatory Information Number (RIN)
and title, by the following method:
—Federal Rulemaking Portal: http://
www.regulations.gov. Follow the
instructions for submitting comments.
All submissions received must include
the agency name and docket number or
RIN for this document. The general
policy for comments and other
submissions from members of the public
is to make these submissions available
for public viewing at http://
www.regulations.gov as they are
received without change, including any
personal identifiers or contact
information.
SUMMARY:

A
copy of this ICR with applicable
supporting documentation, may be
obtained by contacting the Retirement
Services Publications Team, Office of
Personnel Management, 1900 E Street
NW, Room 3316–L, Washington, DC
20415, Attention: Cyrus S. Benson, or

FOR FURTHER INFORMATION CONTACT:

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