Proposed Extension of Information Collection; Claim for Medical Reimbursement Form (OWCP-915), 9869-9870 [2024-02745]

Download as PDF Federal Register / Vol. 89, No. 29 / Monday, February 12, 2024 / Notices khammond on DSKJM1Z7X2PROD with NOTICES collections of information in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: 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 on respondents can be properly assessed. Currently, the OWCP/DEEOIC is soliciting comments on the information collection for DEEOIC Authorization Forms, EE–22, EE–24, EE–26, EE–28, EE–30, EE–32. DATES: All comments must be received on or before April 12, 2024. ADDRESSES: You may submit comment as follows. Please note that late, untimely filed comments will not be considered. Written/Paper Submissions: Submit written/paper submissions in the following way: • Mail/Hand Delivery: Mail or visit DOL–OWCP/DEEOIC, Office of Workers’ Compensation Programs, Division of Energy Employees Occupational Illness Compensation, U.S. Department of Labor, 200 Constitution Ave. NW, Room S3323, Washington, DC 20210. • OWCP/DEEOIC will post your comment as well as any attachments, except for information submitted and marked as confidential, in the docket at https://www.regulations.gov. FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers’ Compensation Programs, at suggs.anjanette@dol.gov (email) or (202) 354–9660 (voice). SUPPLEMENTARY INFORMATION: I. Background The Office of Workers’ Compensation Programs (OWCP) is the primary agency responsible for administration of the Energy Employees Occupational Illness Compensation Program Act of 2000, as amended (EEOICPA), 42 U.S.C. 7384 et seq. EEOICPA provides for the payment of compensation to covered employees and, where applicable, survivors of deceased employees, who sustained either an ‘‘occupational illness’’ or a ‘‘covered illness’’ in the performance of duty for the Department of Energy and certain of its contractors and subcontractors. One element of the compensation provided to covered employees is medical benefits for the treatment of their occupational or covered illnesses that are accepted as compensable. OWCP contracts with a private sector bill processing agent that handles many of the tasks associated with paying bills for medical treatment provided to covered employees under VerDate Sep<11>2014 21:06 Feb 09, 2024 Jkt 262001 EEOICPA. This bill processing agent uses an automated system that matches incoming bills with the authorized medical treatment of covered employees before it issues payments, and a provider of medical treatment, supplies or services to covered employees must provide the bill processing agent with information necessary for creation of an authorization within the agent’s automated system before a bill can be paid. The collection of this information is authorized by 20 CFR 30.400(a) and (c), 30.403, 30.404(b) and 30.700. The information collections in this ICR collect demographic, factual and medical information that OWCP and/or its bill processing agent needs to process bills for medical treatment, supplies or services. II. Desired Focus of Comments OWCP is soliciting comments concerning the proposed information collection related to the DEEOIC Authorization Forms, EE–22, EE–24, EE–26, EE–28, EE–30, EE–32. OWCP/ DEEOIC is particularly interested in comments that: • Evaluate whether the collection of information is necessary for the proper performance of the functions of the Agency, including whether the information has practical utility; • Evaluate the accuracy of OWCP/ DEEOIC/s estimate of the burden related to the information collection, including the validity of the methodology and assumptions used in the estimate; • Suggest methods to enhance the quality, utility, and clarity of the information to be collected; and • Minimize the burden of the information collection 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. Background documents related to this information collection request are available at https://regulations.gov and at DOL–OWCP/DEEOIC located at 200 Constitution Avenue NW, Washington, DC 20210. Questions about the information collection requirements may be directed to the person listed in the FOR FURTHER INFORMATION CONTACT section of this notice. III. Current Actions This information collection request concerns OWCP/DEEOIC Authorization Forms (EE–22, EE–24, EE–26, EE–28, EE–30, EE–32 has updated the data with respect to the number of respondents, responses, burden hours, and burden costs supporting this information PO 00000 Frm 00036 Fmt 4703 Sfmt 4703 9869 collection request from the previous information collection request. Type of Review: Extension, without change, of a currently approved collection. Agency: Office of Workers’ Compensation Programs, Division of Energy Employees Occupational Illness Compensation (OWCP/DEEOIC). OMB Number: 1240–0060. Affected Public: Individuals or households; business. Number of Respondents: 12,890. Frequency: Varies by form. Number of Responses: 66,770. Annual Burden Hours: 11,129 hours. DEEOIC Forms, EE–22, EE–24, EE–26, EE–28, EE–30, EE–32. DEEOIC Authorization Forms. Comments submitted in response to this notice will be summarized in the request for Office of Management and Budget approval of the proposed information collection request; they will become a matter of public record and will be available at https:// www.reginfo.gov. Anjanette Suggs, Certifying Officer. [FR Doc. 2024–02746 Filed 2–9–24; 8:45 am] BILLING CODE 4510–CR–P DEPARTMENT OF LABOR Office of the Worker’s Compensation Programs [OMB Control No. 1240–0007] Proposed Extension of Information Collection; Claim for Medical Reimbursement Form (OWCP–915) Office of Workers’ Compensation (OWCP), Labor. ACTION: Request for public comments. AGENCY: The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: 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 on respondents can be properly assessed. Currently, OWCP is soliciting comments on the information collection for Claim for Medical Reimbursement (OWCP–915). DATES: All comments must be received on or before April 12, 2024. SUMMARY: E:\FR\FM\12FEN1.SGM 12FEN1 9870 Federal Register / Vol. 89, No. 29 / Monday, February 12, 2024 / Notices ADDRESSES: II. Desired Focus of Comments FOR FURTHER INFORMATION CONTACT: OWCP is soliciting comments concerning the proposed information collection (ICR) titled, ‘‘Claim for Medical Reimbursement’’ (OWCP–915). OWCP/DFELHWC is particularly interested in comments that: • Evaluate whether the collection of information is necessary for the proper performance of the functions of the Agency, including whether the information has practical utility; • Evaluate the accuracy of OWCP’s estimate of the burden related to the information collection, including the validity of the methodology and assumptions used in the estimate; • Suggest methods to enhance the quality, utility, and clarity of the information to be collected; and • Minimize the burden of the information collection 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. Background documents related to this information collection request are available at https://regulations.gov and at DOL–OWCP located at 200 Constitution Avenue NW, Room S– 3215, Washington, DC 20210. Questions about the information collection requirements may be directed to the person listed in the FOR FURTHER INFORMATION CONTACT section of this notice. You may submit comment as follows. Please note that late, untimely filed comments will not be considered. Written/Paper Submissions: Submit written/paper submissions in the following way: • Mail/Hand Delivery: Mail or visit DOL–OWCP, Office of Workers’ Compensation Programs, U.S. Department of Labor, 200 Constitution Ave. NW, Room S–3215, Washington, DC 20210. • OWCP will post your comment as well as any attachments, except for information submitted and marked as confidential, in the docket at https:// www.regulations.gov. Anjanette Suggs, Office of Workers’ Compensation Programs, OWCP, at suggs.anjanette@dol.gov (email); (202) 354–9660. SUPPLEMENTARY INFORMATION: khammond on DSKJM1Z7X2PROD with NOTICES I. Background The Office of Workers’ Compensation Programs (OWCP) administers the Federal Employees’ Compensation Act (FECA), 5 U.S.C. 8101 et seq., the Black Lung Benefits Act (BLBA), 30 U.S.C. 901 et seq., and the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 et seq. All three statutes require OWCP to pay for covered medical treatment that is provided to beneficiaries, and to reimburse beneficiaries for any out-of-pocket covered medical expenses they have paid. Form OWCP–915, Claim for Medical Reimbursement, is used for this purpose and collects the necessary beneficiary and medical provider data in a standard format. Beneficiaries must also attach billing information prepared by the medical provider (Form OWCP– 1500 for professional medical services, Form OWCP–04 for institutional providers and hospitals, or a paper bill for medications dispensed in the physician’s office. The hour and cost burdens to collect the billing information from medical providers in the required attachments to Form OWCP–915 are accounted for in OMB Nos. 1240–0019, 1240–0044, and 1240– 0050. This is the same billing information a medical provider reports when it bills OWCP directly. Regulations implementing the FECA, BLBA and EEOICPA programs require the collection of information that is needed to determine if reimbursement claims submitted by beneficiaries can be paid. VerDate Sep<11>2014 21:06 Feb 09, 2024 Jkt 262001 III. Current Actions This information collection request concerns Claim for Reimbursement OWCP–915. OWCP has updated the data with respect to the number of respondents, responses, burden hours, and burden costs supporting this information collection request from the previous information collection request. Type of Review: Extension, with change, of a currently approved collection. Agency: Office of Workers’ Compensation Programs, OWCP. OMB Number: 1240–0007. Affected Public: Individuals or households. Number of Respondents: 18,023. Frequency: Annually. Number of Responses: 7. Annual Burden Hours: 4 hours. OWCP–915, Claim for Reimbursement Comments submitted in response to this notice will be summarized in the request for Office of Management and Budget approval of the proposed information collection request; they will PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 become a matter of public record and will be available at https:// www.reginfo.gov. Anjanette Suggs, Certifying Officer. [FR Doc. 2024–02745 Filed 2–9–24; 8:45 am] BILLING CODE 4510–CR–P NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES National Endowment for the Humanities Meeting of Humanities Panel National Endowment for the Humanities, National Foundation on the Arts and the Humanities. ACTION: Notice of meeting. AGENCY: The National Endowment for the Humanities (NEH) will hold four additional meetings, by video conference, of the Humanities Panel, a federal advisory committee, in February 2024, and thirty-nine meetings during March 2024. The purpose of the meetings is for panel review, discussion, evaluation, and recommendation of applications for financial assistance under the National Foundation on the Arts and the Humanities Act of 1965. DATES: See SUPPLEMENTARY INFORMATION for meeting dates. The meetings will open at 8:30 a.m. and will adjourn by 5 p.m. on the dates specified below. FOR FURTHER INFORMATION CONTACT: Elizabeth Voyatzis, Committee Management Officer, 400 7th Street SW, Room 4060, Washington, DC 20506; (202) 606–8322; evoyatzis@neh.gov. SUPPLEMENTARY INFORMATION: Pursuant to section 10(a)(2) of the Federal Advisory Committee Act (5 U.S.C. 10), notice is hereby given of the following meetings: SUMMARY: 1. Date: February 26, 2024 This video meeting will discuss applications on the topic of History, for the Public Scholars grant program, submitted to the Division of Research Programs. 2. Date: February 27, 2024 This video meeting will discuss applications on the topics of Literature and Language, for the Public Scholars grant program, submitted to the Division of Research Programs. 3. Date: February 28, 2024 This video meeting will discuss applications on the topic of Biography, for the Public Scholars grant program, submitted to the Division of Research Programs. E:\FR\FM\12FEN1.SGM 12FEN1

Agencies

DEPARTMENT OF LABOR
Office of the Worker's Compensation Programs

[Federal Register Volume 89, Number 29 (Monday, February 12, 2024)]
[Notices]
[Pages 9869-9870]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-02745]


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DEPARTMENT OF LABOR

Office of the Worker's Compensation Programs

[OMB Control No. 1240-0007]


Proposed Extension of Information Collection; Claim for Medical 
Reimbursement Form (OWCP-915)

AGENCY: Office of Workers' Compensation (OWCP), Labor.

ACTION: Request for public comments.

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

SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a pre-clearance 
request for comment to provide the general public and Federal agencies 
with an opportunity to comment on proposed collections of information 
in accordance with the Paperwork Reduction Act of 1995. This request 
helps to ensure that: 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 on respondents can be properly assessed. 
Currently, OWCP is soliciting comments on the information collection 
for Claim for Medical Reimbursement (OWCP-915).

DATES: All comments must be received on or before April 12, 2024.

[[Page 9870]]


ADDRESSES: You may submit comment as follows. Please note that late, 
untimely filed comments will not be considered.
    Written/Paper Submissions: Submit written/paper submissions in the 
following way:
     Mail/Hand Delivery: Mail or visit DOL-OWCP, Office of 
Workers' Compensation Programs, U.S. Department of Labor, 200 
Constitution Ave. NW, Room S-3215, Washington, DC 20210.
     OWCP will post your comment as well as any attachments, 
except for information submitted and marked as confidential, in the 
docket at https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers' 
Compensation Programs, OWCP, at [email protected] (email); (202) 
354-9660.

SUPPLEMENTARY INFORMATION:

I. Background

    The Office of Workers' Compensation Programs (OWCP) administers the 
Federal Employees' Compensation Act (FECA), 5 U.S.C. 8101 et seq., the 
Black Lung Benefits Act (BLBA), 30 U.S.C. 901 et seq., and the Energy 
Employees Occupational Illness Compensation Program Act of 2000 
(EEOICPA), 42 U.S.C. 7384 et seq. All three statutes require OWCP to 
pay for covered medical treatment that is provided to beneficiaries, 
and to reimburse beneficiaries for any out-of-pocket covered medical 
expenses they have paid. Form OWCP-915, Claim for Medical 
Reimbursement, is used for this purpose and collects the necessary 
beneficiary and medical provider data in a standard format. 
Beneficiaries must also attach billing information prepared by the 
medical provider (Form OWCP-1500 for professional medical services, 
Form OWCP-04 for institutional providers and hospitals, or a paper bill 
for medications dispensed in the physician's office. The hour and cost 
burdens to collect the billing information from medical providers in 
the required attachments to Form OWCP-915 are accounted for in OMB Nos. 
1240-0019, 1240-0044, and 1240-0050. This is the same billing 
information a medical provider reports when it bills OWCP directly. 
Regulations implementing the FECA, BLBA and EEOICPA programs require 
the collection of information that is needed to determine if 
reimbursement claims submitted by beneficiaries can be paid.

II. Desired Focus of Comments

    OWCP is soliciting comments concerning the proposed information 
collection (ICR) titled, ``Claim for Medical Reimbursement'' (OWCP-
915). OWCP/DFELHWC is particularly interested in comments that:
     Evaluate whether the collection of information is 
necessary for the proper performance of the functions of the Agency, 
including whether the information has practical utility;
     Evaluate the accuracy of OWCP's estimate of the burden 
related to the information collection, including the validity of the 
methodology and assumptions used in the estimate;
     Suggest methods to enhance the quality, utility, and 
clarity of the information to be collected; and
     Minimize the burden of the information collection 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.
    Background documents related to this information collection request 
are available at https://regulations.gov and at DOL-OWCP located at 200 
Constitution Avenue NW, Room S-3215, Washington, DC 20210. Questions 
about the information collection requirements may be directed to the 
person listed in the FOR FURTHER INFORMATION CONTACT section of this 
notice.

III. Current Actions

    This information collection request concerns Claim for 
Reimbursement OWCP-915. OWCP has updated the data with respect to the 
number of respondents, responses, burden hours, and burden costs 
supporting this information collection request from the previous 
information collection request.
    Type of Review: Extension, with change, of a currently approved 
collection.
    Agency: Office of Workers' Compensation Programs, OWCP.
    OMB Number: 1240-0007.
    Affected Public: Individuals or households.
    Number of Respondents: 18,023.
    Frequency: Annually.
    Number of Responses: 7.
    Annual Burden Hours: 4 hours.

OWCP-915, Claim for Reimbursement

    Comments submitted in response to this notice will be summarized in 
the request for Office of Management and Budget approval of the 
proposed information collection request; they will become a matter of 
public record and will be available at https://www.reginfo.gov.

Anjanette Suggs,
Certifying Officer.
[FR Doc. 2024-02745 Filed 2-9-24; 8:45 am]
BILLING CODE 4510-CR-P

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