Agency Information Collection Activities; Comment Request; Uniform Billing Form, 64529-64530 [2021-25163]
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khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 86, No. 220 / Thursday, November 18, 2021 / Notices
information collection unless it displays
a valid OMB control number. A
summary of the ICR and the current
burden estimates follows:
Agency: Employee Benefits Security
Administration, Department of Labor.
Title: Patient Protection and
Affordable Care Act Patient Protection
Notice.
Type of Review: Extension of a
currently approved collection of
information.
OMB Number: 1210–0142.
Affected Public: Business or other forprofit; Not-for-profit institutions.
Respondents: 56,543.
Frequency of Responses: On occasion.
Responses: 256,262.
Estimated Total Burden Hours: 7,068.
Estimated Total Burden Cost
(Operating and Maintenance): $3,203.
Description: The Patient Protection
and Affordable Care Act (the Affordable
Care Act) was enacted on March 23,
2010. Section 2719A of the Public
Health Service Act (the PHS Act), as
added by the Affordable Care Act, and
the Department’s 2015 final regulations
(29 CFR 2590.715–2719A) provide that
if a group health plan, or a health
insurance issuer offering group or
individual health insurance coverage,
requires or provides for designation by
a participant, beneficiary, or enrollee of
a participating primary care provider,
then the plan or issuer must permit each
participant, beneficiary, or enrollee to
designate any participating primary care
provider who is available to accept the
participant, beneficiary, or enrollee.
The statute and the 2015 final
regulations impose a requirement for the
designation of a pediatrician similar to
the requirement for the designation of a
primary care physician. Specifically, if
a plan or issuer requires or provides for
the designation of a participating
primary care provider for a child by a
participant, beneficiary, or enrollee, the
plan or issuer must permit the
designation of a physician (allopathic or
osteopathic) who specializes in
pediatrics as the child’s primary care
provider if the provider participates in
the network of the plan or issuer. The
statute and the 2015 final regulations
also provide that a group health plan, or
a health insurance issuer may not
require authorization or referral by the
plan, issuer, or any person (including a
primary care provider) for a female
participant, beneficiary, or enrollee who
seeks obstetrical or gynecological care
provided by an in-network health care
professional who specializes in
obstetrics or gynecology.
On December 27, 2020, the
Consolidated Appropriations Act, 2021
(CAA), which includes the No Surprises
VerDate Sep<11>2014
17:11 Nov 17, 2021
Jkt 256001
Act, was signed into law. The No
Surprises Act provides Federal
protections against surprise billing and
limits out-of-network cost sharing under
many of the circumstances in which
surprise bills arise most frequently. The
CAA added provisions applicable to
group health plans and health insurance
issuers in the group and individual
markets in a new Part D of title XXVII
of the Public Health Service Act (PHS
Act) and also added new provisions to
part 7 of the Employee Retirement
Income Security Act (ERISA), and
Subchapter B of chapter 100 of the
Internal Revenue Code (Code).
The No Surprises Act expanded the
patient protections related to emergency
services to provide additional
protections. In addition, the No
Surprises Act added reorganized part 7
of ERISA and added a section 722 that
includes provisions which mirror those
related to choice of healthcare
professional that are currently
applicable under section 2719A of the
PHS Act (which is incorporated by
reference through ERISA section 715).
The patient protections under the No
Surprises Act apply generally to all
group health plans and health insurance
coverage and a result of the
recodification of this provision is that it
now applies to grandfathered health
plans. The 2021 interim final
regulations ‘‘Requirements Related to
Surprise Billing; Part I’’ add a sunset
clause to the current patient protection
provisions codified in the 2015 final
regulations, and re-codify the provisions
related to choice of health care
professional in a new section.
Accordingly, the 2015 final regulations
and 2021 interim final regulations
requires plans and issuers to provide a
notice to participants (in the individual
market, primary subscribers) of these
rights when applicable. The notice must
be provided whenever the plan or issuer
provides a participant with a summary
plan description or other similar
description of benefits under the plan or
health insurance coverage, or in the
individual market, provides a primary
subscriber with a policy, certificate, or
contract of health insurance.
On September 10, 2021, the Office of
Management and Budget (OMB)
approved the information collection
request (OMB Control Number 1210–
0142) under the emergency procedures
for review and clearance in accordance
with the Paperwork Reduction Act of
1995 (Pub. L. 104–13, 44 U.S.C. chapter
35) and 5 CFR 1320.13. The approval is
scheduled to expire on March 31, 2022.
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64529
II. Focus of Comments
The Department is particularly
interested in comments that:
• Evaluate whether the collections of
information are 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 collections 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., by permitting electronic
submissions of responses.
• Evaluate the effectiveness of the
additional demographic questions.
Comments submitted in response to
this notice will be summarized and/or
included in the ICR for OMB approval
of the information collection; they will
also become a matter of public record.
Comments submitted in response to
this notice will be summarized and/or
included in the ICR for OMB approval
of the information collection; they will
also become a matter of public record.
Signed at Washington, DC, this 11th day of
November, 2021.
Ali Khawar,
Acting Assistant Secretary, Employee Benefits
Security Administration, U.S. Department of
Labor.
[FR Doc. 2021–25162 Filed 11–17–21; 8:45 am]
BILLING CODE P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Uniform
Billing Form
ACTION:
Notice.
Office of Workers’
Compensation Programs.
SUMMARY: The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Uniform
Billing Form’’. This comment request is
part of continuing Departmental efforts
to reduce paperwork and respondent
burden in accordance with the
AGENCY:
E:\FR\FM\18NON1.SGM
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khammond on DSKJM1Z7X2PROD with NOTICES
64530
Federal Register / Vol. 86, No. 220 / Thursday, November 18, 2021 / Notices
Paperwork Reduction Act of 1995
(PRA).
DATES: Consideration will be given to all
written comments received by January
18, 2022.
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 for free by contacting
Anjanette Suggs by telephone at 202–
354–9660 or by email at
suggs.anjanette@dol.gov.
Submit written comments about this
ICR by mail or courier to the U.S.
Department of Labor, Office of Workers’
Compensation Programs, Room S3323,
200 Constitution Avenue NW,
Washington, DC 20210; or by email at
suggs.anjanette@dol.gov. Please note
that comments submitted after the
comment period will not be considered.
FOR FURTHER INFORMATION CONTACT:
Anjanette Suggs by telephone at 202–
354–9660 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 Office of
Management and Budget (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.
The Office of Workers’ Compensation
Programs (OWCP) is the agency
responsible for administration of the
Federal Employees’ Compensation Act,
5 U.S.C. 8101 et seq., the Black Lung
Benefits Act, 30 U.S.C. 901 et seq., and
the Energy Employees Occupational
Illness Compensation Program Act of
2000, 42 U.S.C. 7384 et seq. All three of
these statutes require that OWCP pay for
medical treatment of beneficiaries; this
medical treatment can include
inpatient/outpatient hospital services,
as well as services provided by nursing
homes, skilled nursing facilities and
home health aides in the home. In order
to determine whether billed amounts
are appropriate, OWCP needs to identify
the patient, the specific services that
were rendered and their relationship to
the work-related injury or illness. The
regulations implementing these statutes
require the use of Form OWCP–04 or
UB–04 for the submission of medical
VerDate Sep<11>2014
17:11 Nov 17, 2021
Jkt 256001
bills from institutional providers (20
CFR 10.801, 30.701, 725.405, 725.406,
725.701 and 725.704). The Uniform
Billing Form, known as the paper UB–
04, has been approved by the American
Hospital Association, the Centers for
Medicare and Medicaid Services and
the Civilian Health and Medical
Program of Uniformed Services by
various other government health care
providers, and the private sector, to
request payment to institutional
providers of medical services. The paper
UB–04 form has been designed by the
National Uniform Billing Committee
and is neither a government-printed
form nor distributed by OWCP.
However, this collection includes the
paper UB–04 form as a collection
instrument, with detailed instructions
prepared by OWCP to ensure that it
obtains only the information needed to
consider requests for payment from
institutional providers using this billing
form. This information collection is
currently approved for use through
March 31, 2022.
Interested parties are encouraged to
provide comments to the contact shown
in the ADDRESSES section. Written
comments will receive consideration,
and be summarized and included in the
request for OMB approval of the final
ICR. In order to help ensure appropriate
consideration, comments should
mention OMB No. 1240–0019.
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,
PO 00000
Frm 00086
Fmt 4703
Sfmt 4703
e.g., permitting electronic submission of
responses.
Agency: DOL–OWCP.
Type of Review: Revision of currently
approved collection.
Title of Collection: Uniform Billing
Form.
Form: OWCP–04, Uniform Billing
Form.
OMB Control Number: 1240–0019.
Affected Public: Private Sector:
Business or other for-profit institutions;
not for-profit.
Estimated Number of Respondents:
6,077.
Frequency: On occasion.
Total Estimated Annual Responses:
190,970.
Estimated Average Time per
Response: 1–7 minutes.
Estimated Total Annual Burden
Hours: 29,466.
Total Federal Cost: $1,981,286.
Total Estimated Annual Other Cost
Burden: 0.
(Authority: 44 U.S.C. 3506(c)(2)(A))
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021–25163 Filed 11–17–21; 8:45 am]
BILLING CODE 4510–CH–P
NATIONAL AERONAUTICS AND
SPACE ADMINISTRATION
[Notice (21–078)]
Notice of Intent To Grant an Exclusive,
Co-Exclusive or Partially Exclusive
Patent License
National Aeronautics and
Space Administration.
ACTION: Notice of intent to grant
exclusive, co-exclusive or partially
exclusive patent license.
AGENCY:
NASA hereby gives notice of
its intent to grant an exclusive, coexclusive or partially exclusive patent
license to practice the inventions
described and claimed in the patents
and/or patent applications listed in
SUPPLEMENTARY INFORMATION below.
DATES: The prospective exclusive, coexclusive or partially exclusive license
may be granted unless NASA receives
written objections including evidence
and argument, no later than December 3,
2021 that establish that the grant of the
license would not be consistent with the
requirements regarding the licensing of
federally owned inventions as set forth
in the Bayh-Dole Act and implementing
regulations. Competing applications
completed and received by NASA no
later than December 3, 2021 will also be
treated as objections to the grant of the
SUMMARY:
E:\FR\FM\18NON1.SGM
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]]>Agencies
[Federal Register Volume 86, Number 220 (Thursday, November 18, 2021)]
[Notices]
[Pages 64529-64530]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-25163]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Uniform Billing Form
ACTION: Notice.
-----------------------------------------------------------------------
AGENCY: Office of Workers' Compensation Programs.
SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a proposed extension for the authority to conduct the
information collection request (ICR) titled, ``Uniform Billing Form''.
This comment request is part of continuing Departmental efforts to
reduce paperwork and respondent burden in accordance with the
[[Page 64530]]
Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
January 18, 2022.
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 for free by
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at
[email protected].
Submit written comments about this ICR by mail or courier to the
U.S. Department of Labor, Office of Workers' Compensation Programs,
Room S3323, 200 Constitution Avenue NW, Washington, DC 20210; or by
email at [email protected]. Please note that comments submitted
after the comment period will not be considered.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs by telephone at 202-
354-9660 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 Office of Management and
Budget (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.
The Office of Workers' Compensation Programs (OWCP) is the agency
responsible for administration of the Federal Employees' Compensation
Act, 5 U.S.C. 8101 et seq., the Black Lung Benefits Act, 30 U.S.C. 901
et seq., and the Energy Employees Occupational Illness Compensation
Program Act of 2000, 42 U.S.C. 7384 et seq. All three of these statutes
require that OWCP pay for medical treatment of beneficiaries; this
medical treatment can include inpatient/outpatient hospital services,
as well as services provided by nursing homes, skilled nursing
facilities and home health aides in the home. In order to determine
whether billed amounts are appropriate, OWCP needs to identify the
patient, the specific services that were rendered and their
relationship to the work-related injury or illness. The regulations
implementing these statutes require the use of Form OWCP-04 or UB-04
for the submission of medical bills from institutional providers (20
CFR 10.801, 30.701, 725.405, 725.406, 725.701 and 725.704). The Uniform
Billing Form, known as the paper UB-04, has been approved by the
American Hospital Association, the Centers for Medicare and Medicaid
Services and the Civilian Health and Medical Program of Uniformed
Services by various other government health care providers, and the
private sector, to request payment to institutional providers of
medical services. The paper UB-04 form has been designed by the
National Uniform Billing Committee and is neither a government-printed
form nor distributed by OWCP. However, this collection includes the
paper UB-04 form as a collection instrument, with detailed instructions
prepared by OWCP to ensure that it obtains only the information needed
to consider requests for payment from institutional providers using
this billing form. This information collection is currently approved
for use through March 31, 2022.
Interested parties are encouraged to provide comments to the
contact shown in the ADDRESSES section. Written comments will receive
consideration, and be summarized and included in the request for OMB
approval of the final ICR. In order to help ensure appropriate
consideration, comments should mention OMB No. 1240-0019.
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: Revision of currently approved collection.
Title of Collection: Uniform Billing Form.
Form: OWCP-04, Uniform Billing Form.
OMB Control Number: 1240-0019.
Affected Public: Private Sector: Business or other for-profit
institutions; not for-profit.
Estimated Number of Respondents: 6,077.
Frequency: On occasion.
Total Estimated Annual Responses: 190,970.
Estimated Average Time per Response: 1-7 minutes.
Estimated Total Annual Burden Hours: 29,466.
Total Federal Cost: $1,981,286.
Total Estimated Annual Other Cost Burden: 0.
(Authority: 44 U.S.C. 3506(c)(2)(A))
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021-25163 Filed 11-17-21; 8:45 am]
BILLING CODE 4510-CH-P
