Proposed Revision of Information Collection Request Submitted for Public Comment; Draft Model Non-Quantitative Treatment Limitations Form, 28095-28097 [2017-12773]
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Federal Register / Vol. 82, No. 117 / Tuesday, June 20, 2017 / Notices
application takes approximately 300
minutes to complete.
• Public Safety Officer Educational
Assistance Application: It is estimated
that no more than 200 respondents will
apply a year. Each application takes
approximately 30 minutes to complete.
• Public Safety Officer Appeal
Request Application: It is estimated that
no more than 75 respondents will apply
a year. Each application takes
approximately 30 minutes to complete.
6. An estimate of the total public
burden (in hours) associated with the
collection:
• Public Safety Officer Death Benefits
Application: An estimate of the total
public burden (in hours) associated with
the collection: Total Annual Reporting
Burden: 350 × 360 minutes per
application = 126,000 minutes/by 60
minutes per hour = 2,100 hours.
• Public Safety Officer Disability
Benefits Application: An estimate of the
total public burden (in hours) associated
with the collection: Total Annual
Reporting Burden: 100 × 300 minutes
per application = 30,000 minutes/by 60
minutes per hour = 500 hours.
• Public Safety Officer Educational
Assistance Application: The estimated
public burden associated with this
collection is 100 hours. It is estimated
that respondents will take 30 minutes to
complete an application. The burden
hours for collecting respondent data
sum to 100 hours (200 respondents × 0.5
hours = 100 hours).
• Public Safety Officer Appeal
Request Application: An estimate of the
total public burden (in hours) associated
with the collection: Total Annual
Reporting Burden: 75 × 30 minutes per
application = 2,250 minutes/by 60
minutes per hour = 37.5 hours.
If additional information is required
contact: Hope D. Janke, Director, Public
Safety Officers’ Benefits Office, Bureau
of Justice Assistance, Office of Justice
Programs, U.S. Department of Justice,
810 7th Street NW., Washington, DC
20531.
Dated: June 15, 2017.
Melody Braswell,
Department Clearance Officer for PRA, U.S.
Department of Justice.
[FR Doc. 2017–12778 Filed 6–19–17; 8:45 am]
sradovich on DSK3GMQ082PROD with NOTICES
BILLING CODE 4410–18–P
DEPARTMENT OF JUSTICE
Notice of Lodging of Proposed
Consent Decree Under the Clean Water
Act
On June 15, 2017, the Department of
Justice lodged a proposed Consent
Decree with the United States District
VerDate Sep<11>2014
19:23 Jun 19, 2017
Jkt 241001
Court for the District of New Jersey in
the lawsuit entitled United States v.
NVR, Inc., Civil Action No. 2:17–cv–
04346.
The United States, on behalf of the
United States Environmental Protection
Agency, filed a Complaint against NVR,
Inc., alleging NVR violated the Clean
Water Act. NVR engages in residential
home construction in a number of
states, including New Jersey and New
York. The Complaint alleges that NVR
discharged pollutants in storm water
without permit coverage in violation of
the Clean Water Act and failed to
comply with the conditions of permits
(state general permits) issued under
Clean Water Act at a number of
construction sites in New Jersey and
New York.
The proposed Consent Decree
provides for NVR to perform injunctive
relief consisting of a nationwide
management, inspection, reporting and
training program to improve compliance
with storm water requirements at NVR’s
current and future construction sites.
The Consent Decree also provides for
NVR to pay a civil penalty of $425,000.
The publication of this notice opens
a period for public comment on the
proposed Consent Decree. Comments
should be addressed to the Assistant
Attorney General, Environment and
Natural Resources Division, and should
refer to United States v. NVR, Inc., D.J.
Ref. No. 90–5–1–1–10429. All
comments must be submitted no later
than thirty (30) days after the
publication date of this notice.
Comments may be submitted either by
email or by mail:
To submit
comments:
Send them to:
By email .......
pubcomment-ees.enrd@
usdoj.gov.
Assistant Attorney General,
U.S. DOJ—ENRD,
P.O. Box 7611,
Washington, DC 20044–7611.
By mail .........
During the public comment period,
the proposed Consent Decree may be
examined and downloaded at this
Justice Department Web site: https://
www.justice.gov/enrd/consent-decrees.
We will provide a paper copy of the
proposed Consent Decree upon written
request and payment of reproduction
costs. Please mail your request and
payment to: Consent Decree Library,
U.S. DOJ—ENRD, P.O. Box 7611,
Washington, DC 20044–7611.
Please enclose a check or money order
for $21.75 (25 cents per page
PO 00000
Frm 00053
Fmt 4703
Sfmt 4703
28095
reproduction cost) payable to the United
States Treasury.
Robert E. Maher, Jr.,
Assistant Section Chief, Environmental
Enforcement Section, Environment and
Natural Resources Division.
[FR Doc. 2017–12835 Filed 6–19–17; 8:45 am]
BILLING CODE 4410–15–P
DEPARTMENT OF LABOR
Employee Benefits Security
Administration
Proposed Revision of Information
Collection Request Submitted for
Public Comment; Draft Model NonQuantitative Treatment Limitations
Form
Employee Benefits Security
Administration, Department of Labor.
ACTION: Notice.
AGENCY:
The Department of Labor (the
Department), in accordance with the
Paperwork Reduction Act of 1995 (PRA
95), provides the general public and
Federal agencies with an opportunity to
comment on proposed and continuing
collections of information. This helps
the Department assess the impact of its
information collection requirements and
minimize the reporting burden on the
public and helps the public understand
the Department’s information collection
requirements and provide the requested
data in the desired format. Currently,
the Employee Benefits Security
Administration is soliciting comments
on a revision of the Notices under the
Mental Health Parity and Addiction
Equity Act of 2008 information
collection request (ICR) to add a model
form participants and authorized
representatives can use to request
certain information from their health
plans that is discussed below.
A copy of the information collection
request (ICR) may be obtained by
contacting the office listed in the
ADDRESSES section of this notice. The
ICR is also available on the
Department’s Web site at: https://
www.dol.gov/agencies/ebsa.
DATES: Written comments must be
submitted to the office shown in the
Addresses section on or before
September 1, 2017.
ADDRESSES: Direct all written comments
regarding the information collection
request and burden estimates to the
Office of Policy and Research, Employee
Benefits Security Administration, U.S.
Department of Labor, 200 Constitution
Avenue NW., Room N–5718,
Washington, DC 20210. Telephone:
SUMMARY:
E:\FR\FM\20JNN1.SGM
20JNN1
28096
Federal Register / Vol. 82, No. 117 / Tuesday, June 20, 2017 / Notices
sradovich on DSK3GMQ082PROD with NOTICES
(202) 693–8410; Fax: (202) 219–4745.
These are not toll-free numbers.
Comments may also be submitted
electronically to the following Internet
email address: ebsa.opr@dol.gov.
SUPPLEMENTARY INFORMATION:
I. Background
The Paul Wellstone and Pete
Domenici Mental Health Parity and
Addiction Equity Act of 2008
(MHPAEA) was enacted on October 3,
2008 and amended by the Affordable
Care Act and the 21st Century Cures Act
(Cures Act). Generally, MHPAEA
requires that the financial requirements
and treatment limitations imposed on
mental health and substance use
disorder (MH/SUD) benefits cannot be
more restrictive than the predominant
financial requirements and treatment
limitations that apply to substantially
all medical and surgical benefits. As
discussed below, MHPAEA includes
several disclosure requirements for
group health plans and health insurance
issuers.
The Cures Act 1 was enacted on
December 13, 2016. Among its
requirements, the Cures Act contains
provisions that are intended to improve
compliance with MHPAEA by requiring
the Departments to solicit feedback from
the public on how to improve the
process for group health plans and
issuers to disclose the information
required under MHPAEA and other
laws.
The statutory MHPAEA provisions
and implementing regulations expressly
provide that a plan or issuer must
disclose the criteria for medical
necessity determinations with respect to
MH/SUD benefits to any current or
potential participant, beneficiary, or
contracting provider upon request and
must disclose the reason for any denial
of reimbursement or payment for
services with respect to MH/SUD
benefits to the participant or
beneficiary.
On October 27, 2016, the Departments
of Labor, Health and Human Services,
and the Treasury (the Departments)
issued Affordable Care Act
Implementation FAQs Part 34, which,
among other things, solicited feedback
regarding disclosures with respect to
MH/SUD benefits under MHPAEA and
other laws. In the FAQs, the
Departments indicated that they had
received questions and suggestions
regarding disclosures with respect to
Nonquantitative Treatment Limitation
(NQTLs) applicable to medical/surgical
and MH/SUD benefits under the plan.
The feedback also included requests
1 Public
Law 114–255.
VerDate Sep<11>2014
18:01 Jun 19, 2017
Jkt 241001
from various stakeholders for model
forms that group health plan
participants, beneficiaries, covered
individuals in the individual market, or
persons acting on their behalf could use
to request relevant disclosures.
Stakeholders also requested guidance on
other ways in which disclosures, or the
process for requesting disclosures, could
be more uniform, streamlined, or
otherwise simplified.
In addition, the Departments
indicated that they had received
requests to explore ways to encourage
uniformity among State reviews of
health insurance issuers’ compliance
with the NQTL standards. Various
stakeholders stated that model forms to
report NQTL information will help
facilitate uniform implementation and
enforcement of MHPAEA, and relieve
some complexity that MHPAEA
compliance poses for issuers operating
in multiple States. Furthermore, other
stakeholders highlighted that the use of
such model forms may also benefit
consumers, as consumers will be
entitled to request the analysis
performed to complete the model forms.
The Cures Act requires the
Departments, by June 13, 2017, to solicit
feedback from the public on how the
disclosure request process for
documents containing information that
health plans and health insurance
issuers are required under Federal or
State law to disclose to participants,
beneficiaries, contracting providers or
authorized representatives to ensure
compliance with existing mental health
parity and addiction equity
requirements can be improved while
continuing to ensure consumers’ rights
to access all information required by
Federal or State law to be disclosed.2
The Cures Act requires the Departments
to make this feedback publicly available
by December 13, 2017.3
The Departments recently issued
Affordable Care Act Implementation
FAQs Part 38, which again solicited
comments on FAQs Part 34 as required
by the Cures Act. The Departments also
solicited comments on a draft model
form that participants, enrollees, or their
authorized representatives could use to
2 Cures
Act section 13001(c)(1).
Act section 13001(c)(2). The Departments
must also share this feedback with the National
Association of Insurance Commissioners (NAIC) to
the extent the feedback includes recommendations
for the development of simplified information
disclosure tools to provide consistent information
to consumers. Such feedback may be taken into
consideration by the NAIC and other appropriate
entities for the voluntary development and
voluntary use of common templates and other
sample standardized forms to improve consumer
access to plan information. See Cures Act section
13001(c)(3).
3 Cures
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Frm 00054
Fmt 4703
Sfmt 4703
request information from their health
plan or issuer regarding NQTLs that
may affect their MH/SUD benefits, or to
obtain documentation after an adverse
benefit determination involving MH/
SUD benefits to support an appeal. The
draft model form is an information
collection subject to the PRA. The
model from and instructions are
available at https://www.dol.gov/
agencies/ebsa.
II. Current Actions
This notice requests public comment
on the draft model form discussed
above. The Department notes that an
agency may not conduct or sponsor, and
a person is not required to respond to,
an information collection unless it
displays a valid OMB control number. A
summary of the ICR and the current
burden estimates follows:
Type of Review: Revised Collection.
Agency: DOL–EBSA.
Title: Notices under the Mental Health
Parity and Addiction Equity Act of
2008—Draft Model Non-Qualitative
Treatment Limitations Form.
OMB Numbers: 1210–0138.
Affected Public: Private Sector—Not
for profit organizations; businesses or
other for profits.
Total Respondents: 1,204,215
(combined with Treasury the total is
2,404,430).
Total Responses: 1,204,215 (combined
with Treasury the total is 2,404,430).
Frequency of Response: On occasion.
Estimated Total Annual Burden
Hours: 26,295 (combined with Treasury
the total is 52,590 hours.
Estimated Total Annual Burden Cost:
$3,424,759 (combined with Treasury the
total is $6,849,519).
III. Desired Focus of Comments
The Department of Labor
(Department) 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
E:\FR\FM\20JNN1.SGM
20JNN1
Federal Register / Vol. 82, No. 117 / Tuesday, June 20, 2017 / Notices
other forms of information technology,
e.g., by permitting electronic
submissions of responses.
Comments submitted in response to
this notice will be summarized and/or
included in the ICR for OMB approval
of the revision of the information
collection; they will also become a
matter of public record.
Dated: June 9, 2017.
Joseph S. Piacentini,
Director, Office of Policy and Research,
Employee Benefits Security Administration.
[FR Doc. 2017–12773 Filed 6–19–17; 8:45 am]
BILLING CODE 4510–29–P
DEPARTMENT OF LABOR
Office of the Secretary
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request;
Representative of Miners, Notification
of Legal Identity, and Notification of
Commencement of Operations and
Closing of Mines
Office of the Secretary,
Department of Labor.
ACTION: Notice.
AGENCY:
The Department of Labor
(DOL) is submitting the Mine Safety and
Health Administration (MSHA)
sponsored information collection
request (ICR) titled, ‘‘Representative of
Miners, Notification of Legal Identity,
and Notification of Commencement of
Operations and Closing of Mines,’’ to
the Office of Management and Budget
(OMB) for review and approval for
continued use, without change, in
accordance with the Paperwork
Reduction Act of 1995 (PRA). Public
comments on the ICR are invited.
DATES: The OMB will consider all
written comments that agency receives
on or before July 20, 2017.
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=201608-1219-002
(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 by email at DOL_PRA_
PUBLIC@dol.gov.
Submit comments about this request
by mail to the Office of Information and
Regulatory Affairs, Attn: OMB Desk
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:01 Jun 19, 2017
Jkt 241001
Officer for DOL–MSHA, 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:
Michel Smyth by telephone at 202–693–
4129, TTY 202–693–8064, (these are not
toll-free numbers) or by email at DOL_
PRA_PUBLIC@dol.gov.
Authority: 44 U.S.C. 3507(a)(1)(D).
This ICR
seeks to extend PRA authority for the
Representative of Miners, Notification of
Legal Identity, and Notification of
Commencement of Operations and
Closing of Mines information collection.
Identification of the miner
representative, notification of mine
owner and operator legal identity, and
notification of commencement of
operations and closing of mines provide
information to help ensure the health
and safety of mine workers by
identifying responsibility for mining
operations. Federal Mine Safety and
Health Act of 1977 section 103(h)
authorizes this information collection.
See 30 U.S.C. 813(h).
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 1219–0042.
OMB authorization for an ICR cannot
be for more than three (3) years without
renewal, and the current approval for
this collection is scheduled to expire on
August 31, 2017. The DOL seeks to
extend PRA authorization for this
information collection for three (3) more
years, without any change to existing
requirements. The DOL notes that
existing information collection
SUPPLEMENTARY INFORMATION:
PO 00000
Frm 00055
Fmt 4703
Sfmt 9990
28097
requirements submitted to the OMB
receive a month-to-month extension
while they undergo review. For
additional substantive information
about this ICR, see the related notice
published in the Federal Register on
March 7, 2017 (82 FR 12853).
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
1219–0042. 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–MSHA.
Title of Collection: Representative of
Miners, Notification of Legal Identity,
and Notification of Commencement of
Operations and Closing of Mines.
OMB Control Number: 1219–0042.
Affected Public: Private Sector—
businesses or other for-profits.
Total Estimated Number of
Respondents: 10,481.
Total Estimated Number of
Responses: 10,481.
Total Estimated Annual Time Burden:
2,027 hours.
Total Estimated Annual Other Costs
Burden: $842.
Dated: June 14, 2017.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2017–12774 Filed 6–19–17; 8:45 am]
BILLING CODE 4510–43–P
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Agencies
[Federal Register Volume 82, Number 117 (Tuesday, June 20, 2017)]
[Notices]
[Pages 28095-28097]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-12773]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Employee Benefits Security Administration
Proposed Revision of Information Collection Request Submitted for
Public Comment; Draft Model Non-Quantitative Treatment Limitations Form
AGENCY: Employee Benefits Security Administration, Department of Labor.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (the Department), in accordance with
the Paperwork Reduction Act of 1995 (PRA 95), provides the general
public and Federal agencies with an opportunity to comment on proposed
and continuing collections of information. This helps the Department
assess the impact of its information collection requirements and
minimize the reporting burden on the public and helps the public
understand the Department's information collection requirements and
provide the requested data in the desired format. Currently, the
Employee Benefits Security Administration is soliciting comments on a
revision of the Notices under the Mental Health Parity and Addiction
Equity Act of 2008 information collection request (ICR) to add a model
form participants and authorized representatives can use to request
certain information from their health plans that is discussed below.
A copy of the information collection request (ICR) may be obtained
by contacting the office listed in the ADDRESSES section of this
notice. The ICR is also available on the Department's Web site at:
https://www.dol.gov/agencies/ebsa.
DATES: Written comments must be submitted to the office shown in the
Addresses section on or before September 1, 2017.
ADDRESSES: Direct all written comments regarding the information
collection request and burden estimates to the Office of Policy and
Research, Employee Benefits Security Administration, U.S. Department of
Labor, 200 Constitution Avenue NW., Room N-5718, Washington, DC 20210.
Telephone:
[[Page 28096]]
(202) 693-8410; Fax: (202) 219-4745. These are not toll-free numbers.
Comments may also be submitted electronically to the following Internet
email address: ebsa.opr@dol.gov.
SUPPLEMENTARY INFORMATION:
I. Background
The Paul Wellstone and Pete Domenici Mental Health Parity and
Addiction Equity Act of 2008 (MHPAEA) was enacted on October 3, 2008
and amended by the Affordable Care Act and the 21st Century Cures Act
(Cures Act). Generally, MHPAEA requires that the financial requirements
and treatment limitations imposed on mental health and substance use
disorder (MH/SUD) benefits cannot be more restrictive than the
predominant financial requirements and treatment limitations that apply
to substantially all medical and surgical benefits. As discussed below,
MHPAEA includes several disclosure requirements for group health plans
and health insurance issuers.
The Cures Act \1\ was enacted on December 13, 2016. Among its
requirements, the Cures Act contains provisions that are intended to
improve compliance with MHPAEA by requiring the Departments to solicit
feedback from the public on how to improve the process for group health
plans and issuers to disclose the information required under MHPAEA and
other laws.
---------------------------------------------------------------------------
\1\ Public Law 114-255.
---------------------------------------------------------------------------
The statutory MHPAEA provisions and implementing regulations
expressly provide that a plan or issuer must disclose the criteria for
medical necessity determinations with respect to MH/SUD benefits to any
current or potential participant, beneficiary, or contracting provider
upon request and must disclose the reason for any denial of
reimbursement or payment for services with respect to MH/SUD benefits
to the participant or beneficiary.
On October 27, 2016, the Departments of Labor, Health and Human
Services, and the Treasury (the Departments) issued Affordable Care Act
Implementation FAQs Part 34, which, among other things, solicited
feedback regarding disclosures with respect to MH/SUD benefits under
MHPAEA and other laws. In the FAQs, the Departments indicated that they
had received questions and suggestions regarding disclosures with
respect to Nonquantitative Treatment Limitation (NQTLs) applicable to
medical/surgical and MH/SUD benefits under the plan. The feedback also
included requests from various stakeholders for model forms that group
health plan participants, beneficiaries, covered individuals in the
individual market, or persons acting on their behalf could use to
request relevant disclosures. Stakeholders also requested guidance on
other ways in which disclosures, or the process for requesting
disclosures, could be more uniform, streamlined, or otherwise
simplified.
In addition, the Departments indicated that they had received
requests to explore ways to encourage uniformity among State reviews of
health insurance issuers' compliance with the NQTL standards. Various
stakeholders stated that model forms to report NQTL information will
help facilitate uniform implementation and enforcement of MHPAEA, and
relieve some complexity that MHPAEA compliance poses for issuers
operating in multiple States. Furthermore, other stakeholders
highlighted that the use of such model forms may also benefit
consumers, as consumers will be entitled to request the analysis
performed to complete the model forms.
The Cures Act requires the Departments, by June 13, 2017, to
solicit feedback from the public on how the disclosure request process
for documents containing information that health plans and health
insurance issuers are required under Federal or State law to disclose
to participants, beneficiaries, contracting providers or authorized
representatives to ensure compliance with existing mental health parity
and addiction equity requirements can be improved while continuing to
ensure consumers' rights to access all information required by Federal
or State law to be disclosed.\2\ The Cures Act requires the Departments
to make this feedback publicly available by December 13, 2017.\3\
---------------------------------------------------------------------------
\2\ Cures Act section 13001(c)(1).
\3\ Cures Act section 13001(c)(2). The Departments must also
share this feedback with the National Association of Insurance
Commissioners (NAIC) to the extent the feedback includes
recommendations for the development of simplified information
disclosure tools to provide consistent information to consumers.
Such feedback may be taken into consideration by the NAIC and other
appropriate entities for the voluntary development and voluntary use
of common templates and other sample standardized forms to improve
consumer access to plan information. See Cures Act section
13001(c)(3).
---------------------------------------------------------------------------
The Departments recently issued Affordable Care Act Implementation
FAQs Part 38, which again solicited comments on FAQs Part 34 as
required by the Cures Act. The Departments also solicited comments on a
draft model form that participants, enrollees, or their authorized
representatives could use to request information from their health plan
or issuer regarding NQTLs that may affect their MH/SUD benefits, or to
obtain documentation after an adverse benefit determination involving
MH/SUD benefits to support an appeal. The draft model form is an
information collection subject to the PRA. The model from and
instructions are available at https://www.dol.gov/agencies/ebsa.
II. Current Actions
This notice requests public comment on the draft model form
discussed above. The Department notes that an agency may not conduct or
sponsor, and a person is not required to respond to, an information
collection unless it displays a valid OMB control number. A summary of
the ICR and the current burden estimates follows:
Type of Review: Revised Collection.
Agency: DOL-EBSA.
Title: Notices under the Mental Health Parity and Addiction Equity
Act of 2008--Draft Model Non-Qualitative Treatment Limitations Form.
OMB Numbers: 1210-0138.
Affected Public: Private Sector--Not for profit organizations;
businesses or other for profits.
Total Respondents: 1,204,215 (combined with Treasury the total is
2,404,430).
Total Responses: 1,204,215 (combined with Treasury the total is
2,404,430).
Frequency of Response: On occasion.
Estimated Total Annual Burden Hours: 26,295 (combined with Treasury
the total is 52,590 hours.
Estimated Total Annual Burden Cost: $3,424,759 (combined with
Treasury the total is $6,849,519).
III. Desired Focus of Comments
The Department of Labor (Department) 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
[[Page 28097]]
other forms of information technology, e.g., by permitting electronic
submissions of responses.
Comments submitted in response to this notice will be summarized
and/or included in the ICR for OMB approval of the revision of the
information collection; they will also become a matter of public
record.
Dated: June 9, 2017.
Joseph S. Piacentini,
Director, Office of Policy and Research, Employee Benefits Security
Administration.
[FR Doc. 2017-12773 Filed 6-19-17; 8:45 am]
BILLING CODE 4510-29-P