Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization Request Forms/Certification/Letter of Medical Necessity, 61255-61256 [2016-21451]

Download as PDF Federal Register / Vol. 81, No. 172 / Tuesday, September 6, 2016 / Notices other forms of information technology, e.g., permitting electronic submission of responses. Agency: DOL–ETA. Type of Review: Revision. Title of Collection: Benefits Timeliness and Quality Review System. Form(s): ETA–9050, ETA–9051, ETA– 9052, ETA–9054, ETA–9055, ETA–9056, ETA–9057. OMB Control Number: 1205–0359. Affected Public: State Workforce Agencies. Estimated Number of Respondents: 53 state agencies. Frequency: Monthly and Quarterly. Total Estimated Annual Responses: 29,196. Estimated Average Time per Response: 80.5 minutes. Estimated Total Annual Burden Hours: 38,132 hours. Total Estimated Annual Other Cost Burden: $0. Portia Wu, Assistant Secretary for Employment and Training Administration. [FR Doc. 2016–21319 Filed 9–2–16; 8:45 am] BILLING CODE 4510–FW–P DEPARTMENT OF LABOR Authority: 44 U.S.C. 3507(a)(1)(D). Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization Request Forms/ Certification/Letter of Medical Necessity Notice. The Department of Labor (DOL) is submitting the Office of Workers’ Compensation Programs (OWCP) sponsored information collection request (ICR) proposal titled, ‘‘Authorization Request Forms/ Certification/Letter of Medical Necessity,’’ 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.). Public comments on the ICR are invited. DATES: The OMB will consider all written comments that agency receives on or before October 6, 2016. 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 of charge from the RegInfo.gov Web site at https:// www.reginfo.gov/public/do/ PRAViewICR?ref_nbr=201606-1240-003 mstockstill on DSK3G9T082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:04 Sep 02, 2016 This ICR seeks PRA authority for the Authorization Request Forms/ Certification/Letter of Medical Necessity information collection consisting of Forms CA–26 (Authorization Request Form and Certification/Letter of Medical Necessity for Compounded Drugs) and CA–27 (Authorization Request Form and Certification/Letter of Medical Necessity for Opioid Medications). The Federal Employee’s Compensation Act (FECA) provides that the OWCP furnish to a Federal employee who is injured while in the performance of duty the services, appliances, and supplies prescribed or recommended by a qualified physician that the OWCP considers likely to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of the monthly compensation. See 5 U.S.C. 8103. Forms CA–26 and CA–27 require an injured worker’s treating physician to answer questions about the prescribed opioids and/or compounded drugs and certify they are medically necessary to treat the workrelated injury. Responses to the questions are intended to ensure treating physicians have considered non-opioid and non-compounded drug alternatives and are only prescribing the most cost effective and medically necessary drugs. The forms will also permit the OWCP more easily to track SUPPLEMENTARY INFORMATION: Office of the Secretary ACTION: (this link will only become active on the day following publication of this notice) or by contacting Michel Smyth by telephone at 202–693–4129 (this is not a toll-free number) or by email at DOL_ PRA_PUBLIC@dol.gov. Submit comments about this request by mail or courier to the Office of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL– OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW., Washington, DC 20503; by Fax: 202–395–5806 (this is not a toll-free number); or by email: OIRA_ submission@omb.eop.gov. Commenters are encouraged, but not required, to send a courtesy copy of any comments by mail or courier to the U.S. Department of Labor-OASAM, Office of the Chief Information Officer, Attn: Departmental Information Compliance Management Program, Room N1301, 200 Constitution Avenue NW., Washington, DC 20210; or by email: DOL_PRA_PUBLIC@dol.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. Jkt 238001 PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 61255 the volume, type, and characteristics of opioids and compounded drugs authorized by the FECA program. The forms will serve as a means for injured workers to continue receiving opioids and compounded drugs only where medically necessary and simultaneously give the OWCP greater oversight in monitoring their appropriate use and gather additional data about their use. FECA section 36(a)(2) authorizes this information collection. See 5 U.S.C. 8124(a)(2). This proposed 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 Control Number. See 5 CFR 1320.5(a) and 1320.6. For additional information, see the related notice published in the Federal Register on June 22, 2016 (81 FR 40721). 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 thirty (30) days of publication of this notice in the Federal Register. In order to help ensure appropriate consideration, comments should mention OMB ICR Reference Number 201606–1240–003. 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: DOL–OWCP. E:\FR\FM\06SEN1.SGM 06SEN1 61256 Federal Register / Vol. 81, No. 172 / Tuesday, September 6, 2016 / Notices Title of Collection: Authorization Request Forms/Certification/Letter of Medical Necessity. OMB ICR Reference Number: 2016006–1240–003. Affected Public: Individuals or Households. Total Estimated Number of Respondents: 86,000. Total Estimated Number of Responses: 71,275. Total Estimated Annual Time Burden: 43,000 hours. Total Estimated Annual Other Costs Burden: $0. Dated: September 1, 2016. Michel Smyth, Departmental Clearance Officer. [FR Doc. 2016–21451 Filed 9–2–16; 8:45 am] BILLING CODE 4510–CH–P DEPARTMENT OF LABOR Office of the Secretary Agency Information Collection Activities; Submission for OMB Review; Comment Request; Report on Occupational Employment and Wages ACTION: Notice. The Department of Labor (DOL) is submitting the Bureau of Labor Statistics (BLS) sponsored information collection request (ICR) revision titled, ‘‘Report on Occupational Employment and Wages,’’ 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.). Public comments on the ICR are invited. DATES: The OMB will consider all written comments that agency receives on or before October 6, 2016. 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 of charge from the RegInfo.gov Web site at https:// www.reginfo.gov/public/do/ PRAViewICR?ref_nbr=201606-1220-002 (this link will only become active on the day following publication of this notice) or by contacting Michel Smyth by telephone at 202–693–4129, TTY 202– 693–8064, (these are not toll-free numbers) or sending an email to DOL_ PRA_PUBLIC@dol.gov. Submit comments about this request by mail or courier to the Office of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL–BLS, Office of Management and Budget, mstockstill on DSK3G9T082PROD with NOTICES SUMMARY: VerDate Sep<11>2014 17:04 Sep 02, 2016 Jkt 238001 Room 10235, 725 17th Street NW., Washington, DC 20503; by Fax: 202– 395–5806 (this is not a toll-free number); or by email: OIRA_ submission@omb.eop.gov. Commenters are encouraged, but not required, to send a courtesy copy of any comments by mail or courier to the U.S. Department of Labor-OASAM, Office of the Chief Information Officer, Attn: Departmental Information Compliance Management Program, Room N1301, 200 Constitution Avenue NW., Washington, DC 20210; or by email: DOL_PRA_PUBLIC@dol.gov. FOR FURTHER INFORMATION CONTACT: Michel Smyth by telephone at 202–693– 4129, TTY 202–693–8064, (these are not toll-free numbers) or sending an email to DOL_PRA_PUBLIC@dol.gov. SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for revisions to the Report on Occupational Employment and Wages information collection. The Occupational Employment Statistics (OES) survey is a Federal/State establishment survey of wage and salary workers designed to produce data on current detailed occupational employment and wages for each Metropolitan Statistical Area and Metropolitan Division as well as by detailed industry classification. OES survey data assists in the development of employment and training programs established by the Perkins Vocational Education Act of 1998. This ICR has been classified as a revision, because its approval as submitted would update collection materials, eliminate industryspecific long forms for larger establishments, test asking smaller employers to submit electronically as a primary option, and test a new short write-in form that contains variable information targeted to specific establishments. The Wagner-Peyser Act authorizes this information collection. See 29 U.S.C. 49I–2. 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. The DOL obtains OMB approval for this information collection under Control Number 1220–0042. The current approval is scheduled to expire on PO 00000 Frm 00076 Fmt 4703 Sfmt 9990 October 31, 2016; however, the DOL notes that existing information collection requirements submitted to the OMB receive a month-to-month extension while they undergo review. New requirements would only take effect upon OMB approval. For additional substantive information about this ICR, see the related notice published in the Federal Register on April 22, 2016 (81 FR 23753). 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 thirty (30) days of publication of this notice in the Federal Register. In order to help ensure appropriate consideration, comments should mention OMB Control Number 1220–0042. 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: DOL–BLS. Title of Collection: Report on Occupational Employment and Wages. OMB Control Number: 1220–0042. Affected Public: Federal Government; State, Local, and Tribal Governments; and Private Sector—businesses or other for-profits, not-for-profit institutions. Total Estimated Number of Respondents: 297,521. Total Estimated Number of Responses: 297,521. Total Estimated Annual Time Burden: 148,760 hours. Total Estimated Annual Other Costs Burden: $0. Authority: 44 U.S.C. 3507(a)(1)(D). Dated: August 30, 2016. Michel Smyth, Departmental Clearance Officer. [FR Doc. 2016–21303 Filed 9–2–16; 8:45 am] BILLING CODE 4510–24–P E:\FR\FM\06SEN1.SGM 06SEN1

Agencies

[Federal Register Volume 81, Number 172 (Tuesday, September 6, 2016)]
[Notices]
[Pages 61255-61256]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-21451]

-----------------------------------------------------------------------

DEPARTMENT OF LABOR

Office of the Secretary

Agency Information Collection Activities; Submission for OMB
Review; Comment Request; Authorization Request Forms/Certification/
Letter of Medical Necessity

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Labor (DOL) is submitting the Office of
Workers' Compensation Programs (OWCP) sponsored information collection
request (ICR) proposal titled, ``Authorization Request Forms/
Certification/Letter of Medical Necessity,'' 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.). Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives
on or before October 6, 2016.

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 of charge
from the RegInfo.gov Web site at https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201606-1240-003 (this link will only become active
on the day following publication of this notice) or by contacting
Michel Smyth by telephone at 202-693-4129 (this is not a toll-free
number) or by email at DOL_PRA_PUBLIC@dol.gov.
Submit comments about this request by mail or courier to the Office
of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-
OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW.,
Washington, DC 20503; by Fax: 202-395-5806 (this is not a toll-free
number); or by email: OIRA_submission@omb.eop.gov. Commenters are
encouraged, but not required, to send a courtesy copy of any comments
by mail or courier to the U.S. Department of Labor-OASAM, Office of the
Chief Information Officer, Attn: Departmental Information Compliance
Management Program, Room N1301, 200 Constitution Avenue NW.,
Washington, DC 20210; or by email: DOL_PRA_PUBLIC@dol.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.

Authority: 44 U.S.C. 3507(a)(1)(D).

SUPPLEMENTARY INFORMATION: This ICR seeks PRA authority for the
Authorization Request Forms/Certification/Letter of Medical Necessity
information collection consisting of Forms CA-26 (Authorization Request
Form and Certification/Letter of Medical Necessity for Compounded
Drugs) and CA-27 (Authorization Request Form and Certification/Letter
of Medical Necessity for Opioid Medications). The Federal Employee's
Compensation Act (FECA) provides that the OWCP furnish to a Federal
employee who is injured while in the performance of duty the services,
appliances, and supplies prescribed or recommended by a qualified
physician that the OWCP considers likely to cure, give relief, reduce
the degree or the period of disability, or aid in lessening the amount
of the monthly compensation. See 5 U.S.C. 8103. Forms CA-26 and CA-27
require an injured worker's treating physician to answer questions
about the prescribed opioids and/or compounded drugs and certify they
are medically necessary to treat the work-related injury. Responses to
the questions are intended to ensure treating physicians have
considered non-opioid and non-compounded drug alternatives and are only
prescribing the most cost effective and medically necessary drugs. The
forms will also permit the OWCP more easily to track the volume, type,
and characteristics of opioids and compounded drugs authorized by the
FECA program. The forms will serve as a means for injured workers to
continue receiving opioids and compounded drugs only where medically
necessary and simultaneously give the OWCP greater oversight in
monitoring their appropriate use and gather additional data about their
use. FECA section 36(a)(2) authorizes this information collection. See
5 U.S.C. 8124(a)(2).
This proposed 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
Control Number. See 5 CFR 1320.5(a) and 1320.6. For additional
information, see the related notice published in the Federal Register
on June 22, 2016 (81 FR 40721).
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 thirty (30) days of publication of this
notice in the Federal Register. In order to help ensure appropriate
consideration, comments should mention OMB ICR Reference Number 201606-
1240-003. 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: DOL-OWCP.

[[Page 61256]]

Title of Collection: Authorization Request Forms/Certification/
Letter of Medical Necessity.
OMB ICR Reference Number: 2016006-1240-003.
Affected Public: Individuals or Households.
Total Estimated Number of Respondents: 86,000.
Total Estimated Number of Responses: 71,275.
Total Estimated Annual Time Burden: 43,000 hours.
Total Estimated Annual Other Costs Burden: $0.

Dated: September 1, 2016.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016-21451 Filed 9-2-16; 8:45 am]
BILLING CODE 4510-CH-P

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