Opportunity
Federal Register #OMB Control No. 1240-0027
Request for Comments on Extension of Survivor's Form for Black Lung Benefits Act
Buyer
Office of Workers Compensation Program
Posted
April 10, 2026
Respond By
June 09, 2026
Identifier
OMB Control No. 1240-0027
This opportunity involves a request for public comments from the Department of Labor's Office of Workers Compensation Programs regarding the extension of the Survivor's Form for Benefits Under the Black Lung Benefits Act. - Government Buyer: - Department of Labor (DOL) - Office of Workers Compensation Programs (OWCP) - Purpose: - Soliciting feedback on the continued use and extension of Form CM912 - Form CM912 is used to collect information from survivors of deceased miners to determine eligibility for benefits under the Black Lung Benefits Act - Key Details: - Focus is on minimizing paperwork and respondent burden in compliance with the Paperwork Reduction Act - Notice includes data on number of respondents, responses, and burden hours - Seeks input on necessity, accuracy, and ways to improve the information collection process - No OEMs, vendors, or procurement of products/services are involved; this is strictly an information collection request - Place of Performance/Contact: - Department of Labor, Office of Workers Compensation Programs, 200 Constitution Avenue NW, Room C3520, Washington, DC 20210
Description
The Department of Labor (DOL) is requesting public comments on the proposed extension of the information collection request (ICR) titled "Survivor's Form for Benefits Under the Black Lung Benefits Act." This form is used to collect information from survivors of deceased miners to determine their entitlement to benefits under the Black Lung Benefits Act. The extension aims to continue the collection of necessary data while minimizing paperwork and respondent burden in compliance with the Paperwork Reduction Act of 1995. Comments on the proposal are due by June 9, 2026.