Agency Information Collection Activities; Comment Request; Health Insurance Claim Form, 8804-8805 [2021-02636]
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8804
Federal Register / Vol. 86, No. 25 / Tuesday, February 9, 2021 / Notices
unemployment inputs available in State
Workforce Agencies.
The labor force estimates developed
and issued in this program are used for
economic analysis and as a tool in the
implementation of Federal economic
policy in such areas as employment and
economic development under the
Workforce Innovation and Opportunity
Act of 2014 (that supplanted the
Workforce Investment Act of 1998) and
the Public Works and Economic
Development Act, among others.
The estimates also are used in
economic analysis by public agencies
and private industry, and for State and
area funding allocations and eligibility
determinations according to legal and
administrative requirements.
Implementation of current policy and
legislative authorities could not be
accomplished without collection of the
data.
The reports and manual covered by
this request are integral parts of the
LAUS program insofar as they ensure
and measure the timeliness, quality,
consistency, and adherence to program
directions of the LAUS estimates and
related research.
II. Current Action
Office of Management and Budget
clearance is being sought for an
extension of the information collection
request that makes up the LAUS
program. All aspects of the information
collection are conducted electronically.
All data are entered directly into BLSprovided systems.
The BLS, as part of its responsibility
to develop concepts and methods by
which States prepare estimates under
the LAUS program, developed a manual
for use by the States. The manual
explains the conceptual framework for
the State and area estimates of
employment and unemployment,
specifies the procedures to be used,
provides input information, and
discusses the theoretical and empirical
basis for each procedure. This manual is
updated on a regular schedule. With
this request, the LAUS program will be
implementing the 5th Generation of
LAUS State Models.
III. Desired Focus of Comments
The Bureau of Labor Statistics is
particularly interested in comments
that:
Total
respondents
LAUS 3040 ..................................................................
Frequency
Total
responses
Average
time per
response
(hours)
Estimated
total
burden
(hours)
13
94,939
1.5
142,409
LAUS 8 ........................................................................
LAUS 15 ......................................................................
LAUS 16 ......................................................................
52 respondents with
7303 reporting
units.
52 ...........................
6 .............................
52 ...........................
11
1
1
572
6
52
1
2
1
572
12
52
Totals ....................................................................
................................
........................
95,569
........................
143,045
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
Management and Budget approval of the
information collection request; they also
will become a matter of public record.
Signed at Washington, DC, on February 3,
2021.
Mark Staniorski,
Chief, Division of Management Systems.
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Health
Insurance Claim Form
Notice of availability; request
for comments.
ACTION:
The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Health
Insurance Claim Form.’’ This comment
request is part of continuing
Departmental efforts to reduce
paperwork and respondent burden in
accordance with the Paperwork
Reduction Act of 1995 (PRA).
SUMMARY:
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Consideration will be given to all
written comments received by April 12,
2021.
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 by contacting
Anjanette Suggs by telephone at (202)
354–9660 or by email at
suggs.anjanette@dol.gov.
Submit written comments about, or
requests for a copy of, this ICR by mail
or courier to the U.S. Department of
Labor, Office of Workers’ Compensation
Programs, Room S–3323, 200
Constitution Avenue NW, Washington,
DC 20210; by email: suggs.anjanette@
dol.gov.
FOR FURTHER INFORMATION CONTACT:
Contact Anjanette Suggs by telephone at
(202) 354–9660 (this is not a toll-free
DATES:
DEPARTMENT OF LABOR
[FR Doc. 2021–02622 Filed 2–8–21; 8:45 am]
khammond on DSKJM1Z7X2PROD with NOTICES
• Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information continues to
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.
• 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 submissions
of responses.
Title of Collection: Local Area
Unemployment Statistics (LAUS)
Program.
OMB Number: 1220–0017.
Type of Review: Extension of a
currently approved collection.
Affected Public: State governments.
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khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 86, No. 25 / Tuesday, February 9, 2021 / Notices
number) or by email at suggs.anjanette@
dol.gov.
SUPPLEMENTARY INFORMATION: The DOL,
as part of continuing efforts to reduce
paperwork and respondent burden,
conducts a pre-clearance consultation
program to provide the general public
and Federal agencies an opportunity to
comment on proposed and/or
continuing collections of information
before submitting them to the OMB for
final approval. This program helps to
ensure requested data can be provided
in the desired format, reporting burden
(time and financial resources) is
minimized, collection instruments are
clearly understood, and the impact of
collection requirements can be properly
assessed.
Form OWCP–1500 is used by OWCP
and contractor bill payment staff to
process bills for medical services
provided by medical professionals other
than medical services provided by
hospitals, pharmacies and certain other
medical providers. This information is
required to pay health care providers for
services rendered to injured employees
covered under the Office of Workers’
Compensation Programs—administered
programs. Appropriate payment cannot
be made without documentation of the
medical services that were provided by
the health care provider that is billing
OWCP. The information obtained to
complete claims under these programs
is used to identify the patient and
determine their eligibility. It is also used
to decide if the services and supplies
received are covered by these programs
and to assure that proper payment is
made. Energy Employees Occupational
Illness Compensation Program Act of
2000, 42 U.S.C., Black Lung Benefits
Act, 30 U.S.C. 901, and the Federal
Employees Compensation Act, 5 U.S.C.
8101 authorize this information
collection.
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.
Interested parties are encouraged to
provide comments to the contact shown
in the ADDRESSES section. Comments
must be written to receive
consideration, and they will be
VerDate Sep<11>2014
17:07 Feb 08, 2021
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summarized and included in the request
for OMB approval of the final ICR. In
order to help ensure appropriate
consideration, comments should
mention 1240–0044.
Submitted comments will also be a
matter of public record for this ICR and
posted on the internet, without
redaction. The DOL encourages
commenters not to include personally
identifiable information, confidential
business data, or other sensitive
statements/information in any
comments.
The DOL 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.
Type of Review: Extension.
Title of Collection: Health Insurance
Claim Form.
Form: OWCP–1500.
OMB Control Number: 1240–0044.
Affected Public: Private Sector—
businesses or other for-profits.
Estimated Number of Respondents:
57,099.
Frequency: On occasion.
Total Estimated Annual Responses:
3,381,232.
Estimated Average Time per
Response: 7 minutes.
Estimated Total Annual Burden
Hours: 321,455 hours.
Total Estimated Annual Other Cost
Burden: $0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021–02636 Filed 2–8–21; 8:45 am]
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8805
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Medical
Travel Refund Request
Notice of availability; request
for comments.
ACTION:
The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Medical
Travel Refund Request.’’ This comment
request is part of continuing
Departmental efforts to reduce
paperwork and respondent burden in
accordance with the Paperwork
Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all
written comments received by April 12,
2021.
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 by contacting
Anjanette Suggs by telephone at (202)
354–9660, or by email at
suggs.anjanette@dol.gov.
Submit written comments about, or
requests for a copy of, this ICR by mail
or courier to the U.S. Department of
Labor, Office of Workers’ Compensation
Programs, Room S–3323, 200
Constitution Avenue NW, Washington,
DC 20210; by email: suggs.anjanette@
dol.gov.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Anjanette Suggs by telephone at (202)
354–9660 (this is not a toll-free number)
or by email at suggs.anjanette@dol.gov.
SUPPLEMENTARY INFORMATION: The DOL,
as part of continuing efforts to reduce
paperwork and respondent burden,
conducts a pre-clearance consultation
program to provide the general public
and Federal agencies an opportunity to
comment on proposed and/or
continuing collections of information
before submitting them to the OMB for
final approval. This program helps to
ensure requested data can be provided
in the desired format, reporting burden
(time and financial resources) is
minimized, collection instruments are
clearly understood, and the impact of
collection requirements can be properly
assessed.
Form OWCP–957 is used to request
reimbursement for out-of-pocket
expenses incurred when traveling to
medical providers for covered medical
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]]>Agencies
[Federal Register Volume 86, Number 25 (Tuesday, February 9, 2021)]
[Notices]
[Pages 8804-8805]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-02636]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Agency Information Collection Activities; Comment Request; Health
Insurance Claim Form
ACTION: Notice of availability; request for comments.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a proposed extension for the authority to conduct the
information collection request (ICR) titled, ``Health Insurance Claim
Form.'' This comment request is part of continuing Departmental efforts
to reduce paperwork and respondent burden in accordance with the
Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
April 12, 2021.
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 by
contacting Anjanette Suggs by telephone at (202) 354-9660 or by email
at [email protected].
Submit written comments about, or requests for a copy of, this ICR
by mail or courier to the U.S. Department of Labor, Office of Workers'
Compensation Programs, Room S-3323, 200 Constitution Avenue NW,
Washington, DC 20210; by email: [email protected].
FOR FURTHER INFORMATION CONTACT: Contact Anjanette Suggs by telephone
at (202) 354-9660 (this is not a toll-free
[[Page 8805]]
number) or by email at [email protected].
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to
reduce paperwork and respondent burden, conducts a pre-clearance
consultation program to provide the general public and Federal agencies
an opportunity to comment on proposed and/or continuing collections of
information before submitting them to the OMB for final approval. This
program helps to ensure requested data can be provided in the desired
format, reporting burden (time and financial resources) is minimized,
collection instruments are clearly understood, and the impact of
collection requirements can be properly assessed.
Form OWCP-1500 is used by OWCP and contractor bill payment staff to
process bills for medical services provided by medical professionals
other than medical services provided by hospitals, pharmacies and
certain other medical providers. This information is required to pay
health care providers for services rendered to injured employees
covered under the Office of Workers' Compensation Programs--
administered programs. Appropriate payment cannot be made without
documentation of the medical services that were provided by the health
care provider that is billing OWCP. The information obtained to
complete claims under these programs is used to identify the patient
and determine their eligibility. It is also used to decide if the
services and supplies received are covered by these programs and to
assure that proper payment is made. Energy Employees Occupational
Illness Compensation Program Act of 2000, 42 U.S.C., Black Lung
Benefits Act, 30 U.S.C. 901, and the Federal Employees Compensation
Act, 5 U.S.C. 8101 authorize this information collection.
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.
Interested parties are encouraged to provide comments to the
contact shown in the ADDRESSES section. Comments must be written to
receive consideration, and they will be summarized and included in the
request for OMB approval of the final ICR. In order to help ensure
appropriate consideration, comments should mention 1240-0044.
Submitted comments will also be a matter of public record for this
ICR and posted on the internet, without redaction. The DOL encourages
commenters not to include personally identifiable information,
confidential business data, or other sensitive statements/information
in any comments.
The DOL 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.
Type of Review: Extension.
Title of Collection: Health Insurance Claim Form.
Form: OWCP-1500.
OMB Control Number: 1240-0044.
Affected Public: Private Sector--businesses or other for-profits.
Estimated Number of Respondents: 57,099.
Frequency: On occasion.
Total Estimated Annual Responses: 3,381,232.
Estimated Average Time per Response: 7 minutes.
Estimated Total Annual Burden Hours: 321,455 hours.
Total Estimated Annual Other Cost Burden: $0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021-02636 Filed 2-8-21; 8:45 am]
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