Agency Information Collection Activities; Submission for OMB Review; Comment Request; Uniform Billing Form, 11483 [2022-04236]
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Federal Register / Vol. 87, No. 40 / Tuesday, March 1, 2022 / Notices
collection of information on those who
are to respond, including the use of
automated collection techniques or
other forms of information technology.
FOR FURTHER INFORMATION CONTACT:
Mara Blumenthal by telephone at 202–
693–8538, or by email at DOL_PRA_
PUBLIC@dol.gov.
SUPPLEMENTARY INFORMATION: OWCP is
the primary agency responsible for the
administration of the Energy Employees
Occupational Illness Compensation
Program Act of 2000, as amended
(EEOICPA or Act), 42 U.S.C. 7384 et seq.
The Act provides for timely payment of
compensation to covered employees
and, where applicable, survivors of such
employees, who sustained either
‘‘occupational illnesses’’ or ‘‘covered
illnesses’’ incurred in the performance
of duty for the Department of Energy
and certain of its contractors and
subcontractors. For additional
substantive information about this ICR,
see the related notice published in the
Federal Register on October 13, 2021
(86 FR 56986).
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 the OMB
approves it 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 OMB Control Number.
See 5 CFR 1320.5(a) and 1320.6.
DOL seeks PRA authorization for this
information collection for three (3)
years. OMB authorization for an ICR
cannot be for more than three (3) years
without renewal. The DOL notes that
information collection requirements
submitted to the OMB for existing ICRs
receive a month-to-month extension
while they undergo review.
Agency: DOL–OWCP.
Title of Collection: Energy Employees
Occupational Illness Compensation
Program Act Forms.
OMB Control Number: 1240–0002.
Affected Public: Individuals or
Households; State, Local, and Tribal
Governments; Private Sector—
Businesses or other for-profits.
Total Estimated Number of
Respondents: 46,827.
Total Estimated Number of
Responses: 48,051.
Total Estimated Annual Time Burden:
16,374 hours.
Total Estimated Annual Other Costs
Burden: $36,088.
(Authority: 44 U.S.C. 3507(a)(1)(D))
VerDate Sep<11>2014
19:01 Feb 28, 2022
Jkt 256001
Dated: February 23, 2022.
Mara Blumenthal,
Senior PRA Analyst.
[FR Doc. 2022–04235 Filed 2–28–22; 8:45 am]
BILLING CODE 4510–CR–P
DEPARTMENT OF LABOR
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Uniform
Billing Form
Notice of availability; request
for comments.
ACTION:
The Department of Labor
(DOL) is submitting this Office of
Workers’ Compensation Programs
(OWCP)-sponsored information
collection request (ICR) to the Office of
Management and Budget (OMB) for
review and approval 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 the agency
receives on or before March 31, 2022.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
Comments are invited on: (1) Whether
the collection of information is
necessary for the proper performance of
the functions of the Department,
including whether the information will
have practical utility; (2) if the
information will be processed and used
in a timely manner; (3) the accuracy of
the agency’s estimates of the burden and
cost of the collection of information,
including the validity of the
methodology and assumptions used; (4)
ways to enhance the quality, utility and
clarity of the information collection; and
(5) ways to minimize the burden of the
collection of information on those who
are to respond, including the use of
automated collection techniques or
other forms of information technology.
FOR FURTHER INFORMATION CONTACT:
Mara Blumenthal by telephone at 202–
693–8538, or by email at DOL_PRA_
PUBLIC@dol.gov.
SUPPLEMENTARY INFORMATION: OWCP is
the agency responsible for
administration of the Federal
Employees’ Compensation Act, 5 U.S.C.
8101 et seq., the Black Lung Benefits
SUMMARY:
PO 00000
Frm 00089
Fmt 4703
Sfmt 9990
11483
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. 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. For
additional substantive information
about this ICR, see the related notice
published in the Federal Register on
November 18, 2021 (86 FR 64529).
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 the OMB
approves it 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 OMB Control Number.
See 5 CFR 1320.5(a) and 1320.6.
DOL seeks PRA authorization for this
information collection for three (3)
years. OMB authorization for an ICR
cannot be for more than three (3) years
without renewal. The DOL notes that
information collection requirements
submitted to the OMB for existing ICRs
receive a month-to-month extension
while they undergo review.
Agency: DOL–OWCP.
Title of Collection: Uniform Billing
Form.
OMB Control Number: 1240–0019.
Affected Public: Private Sector—
Businesses or other for-profits and notfor-profit institutions.
Total Estimated Number of
Respondents: 16,276.
Total Estimated Number of
Responses: 246,305.
Total Estimated Annual Time Burden:
24,684 hours.
Total Estimated Annual Other Costs
Burden: $0.
(Authority: 44 U.S.C. 3507(a)(1)(D))
Dated: February 23, 2022.
Mara Blumenthal,
Senior PRA Analyst.
[FR Doc. 2022–04236 Filed 2–28–22; 8:45 am]
BILLING CODE 4510–CH–P
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01MRN1
]]>Agencies
[Federal Register Volume 87, Number 40 (Tuesday, March 1, 2022)]
[Notices]
[Page 11483]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-04236]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Agency Information Collection Activities; Submission for OMB
Review; Comment Request; Uniform Billing Form
ACTION: Notice of availability; request for comments.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (DOL) is submitting this Office of
Workers' Compensation Programs (OWCP)-sponsored information collection
request (ICR) to the Office of Management and Budget (OMB) for review
and approval 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 the agency
receives on or before March 31, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
Comments are invited on: (1) Whether the collection of information
is necessary for the proper performance of the functions of the
Department, including whether the information will have practical
utility; (2) if the information will be processed and used in a timely
manner; (3) the accuracy of the agency's estimates of the burden and
cost of the collection of information, including the validity of the
methodology and assumptions used; (4) ways to enhance the quality,
utility and clarity of the information collection; and (5) ways to
minimize the burden of the collection of information on those who are
to respond, including the use of automated collection techniques or
other forms of information technology.
FOR FURTHER INFORMATION CONTACT: Mara Blumenthal by telephone at 202-
693-8538, or by email at [email protected].
SUPPLEMENTARY INFORMATION: 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. 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. For additional substantive
information about this ICR, see the related notice published in the
Federal Register on November 18, 2021 (86 FR 64529).
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 the OMB approves it 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
OMB Control Number. See 5 CFR 1320.5(a) and 1320.6.
DOL seeks PRA authorization for this information collection for
three (3) years. OMB authorization for an ICR cannot be for more than
three (3) years without renewal. The DOL notes that information
collection requirements submitted to the OMB for existing ICRs receive
a month-to-month extension while they undergo review.
Agency: DOL-OWCP.
Title of Collection: Uniform Billing Form.
OMB Control Number: 1240-0019.
Affected Public: Private Sector-- Businesses or other for-profits
and not-for-profit institutions.
Total Estimated Number of Respondents: 16,276.
Total Estimated Number of Responses: 246,305.
Total Estimated Annual Time Burden: 24,684 hours.
Total Estimated Annual Other Costs Burden: $0.
(Authority: 44 U.S.C. 3507(a)(1)(D))
Dated: February 23, 2022.
Mara Blumenthal,
Senior PRA Analyst.
[FR Doc. 2022-04236 Filed 2-28-22; 8:45 am]
BILLING CODE 4510-CH-P
