Requesting address change for CM-908.
Coal mine operators who pay monthly benefits must notify the
Department's Division of Coal Mine Workers' Compensation (DCMWC) of
any change in payments and the reason for that change. DCMWC uses
this notification to monitor payments and ensure that beneficiaries
receive the correct benefit rate.
US Code:
30
USC 901 Name of Law: Black Lung Benefits Act
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.