Agency Information Collection Activities; Submission for OMB Review; Comment Request; Certificate of Medical Necessity, 67227 [2011-28060]

Agencies

• Office of the Secretary
• DEPARTMENT OF LABOR

[Federal Register Volume 76, Number 210 (Monday, October 31, 2011)]
[Notices]
[Page 67227]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-28060]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Certificate of Medical Necessity

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) titled, ``Certificate of Medical Necessity,'' as revised, 
(Form CM-893) to the Office of Management and Budget (OMB) for review 
and approval for use in accordance with the Paperwork Reduction Act 
(PRA) of 1995 (44 U.S.C. 3501 et seq.).

DATES: Submit comments on or before November 30, 2011.

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 from the 
RegInfo.gov Web site, https://www.reginfo.gov/public/do/PRAMain, on 
November 1, 2011, or by contacting Michel Smyth by telephone at (202) 
693-4129 (this is not a toll-free number) or sending an email to DOL_PRA_PUBLIC@dol.gov.
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for the Department of Labor, 
Office of Workers' Compensation Programs (OWCP), Office of Management 
and Budget, Room 10235, Washington, DC 20503, Telephone: (202) 395-
6929/Fax: (202) 395-6881 (these are not toll-free numbers), email: 
OIRA_submission@omb.eop.gov.

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
(202) 693-4129 (this is not a toll-free number) or by email at DOL_PRA_PUBLIC@dol.gov.

SUPPLEMENTARY INFORMATION: On October 31, 2011, the DOL is submitting 
the revised Certificate of Medical Necessity ICR to the OMB for review 
and approval for use in accordance with the PRA (44 U.S.C. 3501 et 
seq.). The Certificate of Medical Necessity is completed by a coal 
miner's physician and is used by the OWCP to determine whether the 
miner meets impairment standards to qualify for durable medical 
equipment, home nursing, and/or pulmonary rehabilitation. The OWCP is 
revising this information collection to make cosmetic changes to the 
form, technically making this submission a revision under the PRA; 
however, the changes are not expected to alter the public burden.
    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 if the 
collection of information does not display a valid OMB Control Number. 
See 5 CFR 1320.5(a) and 1320.6. The DOL obtains OMB approval for this 
information collection under OMB Control Number 1240-0024. The current 
OMB approval is scheduled to expire on October 31, 2011; however, it 
should be noted that information collection information collection 
requirements submitted to the OMB receive a month-to-month extension 
while they undergo review. For additional information, see the related 
notice published in the Federal Register on August 30, 2011 (76 FR 
53966).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should reference OMB Control Number 1240-0024. 
The OMB 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: Office of Workers' Compensation Programs (OWCP).
    Title of Collection: Certificate of Medical Necessity.
    OMB Control Number: 1240-0024.
    Affected Public: Private Sector--Businesses or other for-profits 
and Not-for-profit institutions.
    Total Estimated Number of Respondents: 2,500.
    Total Estimated Number of Responses: 2,500.
    Total Estimated Annual Burden Hours: 965.
    Total Estimated Annual Other Costs Burden: $1,335.

    Dated: October 25, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011-28060 Filed 10-28-11; 8:45 am]
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