Proposed Extension of Information Collection; Health Insurance Claim Form (OWCP-1500), 13106-13107 [2024-03438]

Download as PDF khammond on DSKJM1Z7X2PROD with NOTICES 13106 Federal Register / Vol. 89, No. 35 / Wednesday, February 21, 2024 / Notices regulations related to fiduciary duties and the prohibited transaction provisions that may be applicable to the activities of the DB QPAMs; (ii) The Compliance Officer prepares a written report for each Annual Review (each, an Annual Report) that: (A) summarizes their material activities during the preceding year; (B) sets forth any instance of noncompliance discovered during the preceding year, and any related corrective action; (C) details any change to the Policies or Training to guard against any similar instance of noncompliance occurring again; and (D) makes recommendations, as necessary, for additional training, procedures, monitoring, or additional and/or changed processes or systems, and management’s actions on such recommendations; (iii) In each Annual Report, the Compliance Officer must certify in writing that to the best of their knowledge at the time: (A) the report is accurate; (B) the Policies and Training are working in a manner which is reasonably designed to ensure that the Policies and Training requirements described herein are met; (C) any known instance of noncompliance during the preceding year and any related correction taken to date have been identified in the Annual Report; and (D) the DB QPAMs have complied with the Policies and Training and/or corrected (or is correcting) any known instances of noncompliance in accordance with Section III(h) above; (iv) Each Annual Report must be provided to: (A) the appropriate corporate officers of Deutsche Bank and each DB QPAM to which such report relates, and (B) the head of compliance and the DB QPAM’s general counsel (or their functional equivalent) of the relevant DB QPAM; and must be made unconditionally available to the independent auditor described in Section III(i) above; (v) Each Annual Review, including the Compliance Officer’s written Annual Report, must be completed within three (3) months following the end of the period to which it relates; (n) Each DB QPAM will maintain records necessary to demonstrate that the conditions of this exemption have been met, for six (6) years following the date of any transaction for which the DB QPAM relies upon the relief in the exemption; (o) During the Exemption Period, Deutsche Bank: (1) immediately discloses to the Department any Deferred Prosecution Agreement (a DPA) or a Non-Prosecution Agreement (an NPA) with the U.S. Department of Justice, entered into by Deutsche Bank VerDate Sep<11>2014 17:43 Feb 20, 2024 Jkt 262001 any of its affiliates in connection with conduct described in Section I(g) of PTE 84–14 and/or ERISA section 411; and (2) immediately provides the Department any information requested by the Department, as permitted by law, regarding the agreement and/or conduct and allegations that led to such agreement; (p) Within 60 days after the effective date of this exemption, each DB QPAM, in its agreements with, or in other written disclosures provided to Covered Plans, clearly and prominently informs Covered Plan clients of the Covered Plan’s right to obtain a copy of the Policies or a description (Summary Policies), which accurately summarizes key components of the QPAM’s written Policies developed in connection with this exemption. If the Policies are thereafter changed, each Covered Plan client must receive a new disclosure within six (6) months following the end of the calendar year during which the Policies were changed. If the Applicant meets this disclosure requirement through Summary Policies, changes to the Policies shall not result in the requirement for a new disclosure unless, as a result of changes to the Policies, the Summary Policies are no longer accurate. With respect to this requirement, the description may be continuously maintained on a website, provided that such website link to the Policies or the Summary Policies is clearly and prominently disclosed to each Covered Plan; (q) A DB QPAM will not fail to meet the terms of this exemption, solely because a different DB QPAM fails to satisfy a condition for relief described in Sections III(c), (d), (h), (i), (j), (k), (l), (n) and (p) or if the independent auditor described in Section III(i) fails to comply with a provision of the exemption, other than the requirement described in Section III(i)(11), provided that such failure did not result from any actions or inactions of Deutsche Bank or its affiliates; (r) Deutsche Bank imposes its internal procedures, controls, and protocols to reduce the likelihood of any recurrence of conduct that is the subject of the U.S. Conviction and the 2021 DPA; (s) All the material facts and representations set forth in the Summary of Facts and Representations are true and accurate; (t) With respect to an asset manager that becomes a DB QPAM after the effective date of the exemption by virtue of being acquired (in whole or in part) by DB or a subsidiary or affiliate of DB (a ‘‘newly-acquired DB QPAM’’), the newly-acquired DB QPAM would not be precluded from relying on the PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 exemptive relief provided by PTE 84–14 notwithstanding the U.S. Conviction as of the closing date for the acquisition; however, the operative terms of the exemption shall not apply to the newlyacquired DB QPAM until a date that is six (6) months after the closing date for the acquisition. To that end, the newly acquired DB QPAM will initially submit to an audit pursuant to Section III(i) of this exemption as of the first audit period that begins following the closing date for the acquisition. The period covered by the audit must begin on the date on which the DB QPAM was acquired; and (u) The DB QPAM(s) must provide the Department with the records necessary to demonstrate that each condition of this exemption has been met within 30 days of a request for the records by the Department. Exemption Date: This exemption will be in effect beginning on April 18, 2024, and ending on April 17, 2027. Signed at Washington, DC. George Christopher Cosby, Director, Office of Exemption Determinations, Employee Benefits Security Administration, U.S. Department of Labor. [FR Doc. 2024–03358 Filed 2–20–24; 8:45 am] BILLING CODE 4510–29–P DEPARTMENT OF LABOR Office of Workers’ Compensation Programs [OMB Control No. 1240–0044] Proposed Extension of Information Collection; Health Insurance Claim Form (OWCP–1500) Office of Workers’ Compensation Programs, 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 Health Claim Insurance Form, OWCP–1500. SUMMARY: E:\FR\FM\21FEN1.SGM 21FEN1 Federal Register / Vol. 89, No. 35 / Wednesday, February 21, 2024 / Notices All comments must be received on or before April 22, 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 the DOL–OWCP, Office of Workers’ Compensation Programs, U.S. Department of Labor, 200 Constitution Avenue NW, Room S3524, Washington, DC 20210. • OWCP will post your comments as well as any attachments, except for information submitted and marked as confidential, in the docket at https:// www.regulations.gov. • Because your comment will be made public, you are responsible for ensuring that your comment does not include any confidential information that you or a third party may not wish to be posted, such as your or anyone else’s Social Security number or confidential business information. • If your comment includes confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission. FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers’ Compensation Programs, suggs.anjanette@dol.gov (email); (202) 354–9660. SUPPLEMENTARY INFORMATION: DATES: khammond on DSKJM1Z7X2PROD with NOTICES I. Background The Office of Workers’ Compensation Programs (OWCP) is the agency responsible for administration of the Federal Employees’ Compensation Act (FECA), 5 U.S.C. 8101—administered by the Division of Federal Employees’ Compensation Program; the Black Lung Benefits Act (BLBA), 30 U.S.C. 901— administered by the Division of Coal Miner Workers’ Compensation Program; and the Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 administered by the Division of Energy Employees Occupational Illness Compensation Programs. All three of these statutes require that OWCP pay for medical treatment of beneficiaries; BLBA also requires that OWCP pay for medical examinations and related diagnostic services to determine eligibility for benefits under that statute. In order to determine whether billed amounts are appropriate, OWCP needs to identify the patient, the injury or illness that was treated or diagnosed, the specific services that were rendered VerDate Sep<11>2014 17:43 Feb 20, 2024 Jkt 262001 and their relationship to the workrelated injury or illness. The regulations implementing these statutes require the use of Form OWCP–1500 for medical bills submitted by certain physicians and other providers (20 CFR 10.801, 20 CFR 725.704, 30.701, 725.405, 725.406(e), 725.701 and 725.715). II. Desired Focus of Comments OWCP is soliciting comments concerning the proposed information collection related to the Health Insurance Claim Form (OWCP–1500). OWCP 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, Washington, DC 20210. Questions about the information collection requirements may be directed to the person listed in the FOR FURTHER INFORMATION section of this notice. III. Current Actions This information collection request concerns the Health Insurance Claim Form, OWCP–1500. 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, without change, of a currently approved collection. Agency: Office of Workers’ Compensation Programs. OMB Number: 1240–0044. Affected Public: Private Sector. Number of Respondents: 57,099. Frequency: On Occasion. Number of Responses: 3,381,232. Annual Burden Hours: 394,477. Annual Respondent or Recordkeeper Cost: $0. PO 00000 Frm 00075 Fmt 4703 Sfmt 4703 13107 OWCP Form: OWCP Form OWCP– 1500, Health Insurance Claim Form. 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. 2024–03438 Filed 2–20–24; 8:45 am] BILLING CODE 4510–CR–P NATIONAL SCIENCE FOUNDATION Proposal Review Panel for Materials Research; Notice of Meeting In accordance with the Federal Advisory Committee Act (Pub. L. 92– 463, as amended), the National Science Foundation (NSF) announces the following meeting: Name and Committee Code: Proposal Review Panel for Materials Research— Materials Research Science and Engineering Center (MRSEC) Site Visit Princeton University (DMR) (#1203). Date and Time: May 9, 2024; 7:30 a.m.–6:45 p.m.; May 10, 2024; 8:00 a.m.–3:45 p.m. Place: Princeton University, 70 Prospect Avenue, Princeton, NJ 08540. Type of Meeting: Part-Open. Contact Person: Dr. Cosima BoswellKoller, Program Director, National Science Foundation, 2415 Eisenhower Ave., Alexandria, VA 22314; Telephone: 703–292–4959. Purpose of Meeting: NSF site visit to conduct a review during year 4 of the award period as stipulated in the cooperative agreement. Agenda: To conduct an in depth evaluation of performance, to assess progress towards goals, and to provide recommendations. Thursday, May 9, 2024 7:30 a.m.–12:05 p.m.—Executive Sessions (Closed) 12:05 p.m.–1:00 p.m.—Lunch (Open) 1:00 p.m.–2:30 p.m.—Executive Sessions (Closed) 2:30 p.m.–3:30 p.m.—Facilities Overview and Lab Tour (Closed) 3:30 p.m.–5:00 p.m.—Poster Session (Open) 5:00 p.m.–6:45 p.m.—Executive Sessions (Closed) Friday, May 10, 2024 8:00 a.m.–3:45 p.m.—Executive Sessions (Closed) Reason for Closing: The program being reviewed during the site visit will E:\FR\FM\21FEN1.SGM 21FEN1

Agencies

[Federal Register Volume 89, Number 35 (Wednesday, February 21, 2024)]
[Notices]
[Pages 13106-13107]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-03438]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs

[OMB Control No. 1240-0044]


Proposed Extension of Information Collection; Health Insurance 
Claim Form (OWCP-1500)

AGENCY: Office of Workers' Compensation Programs, 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 Health Claim Insurance Form, OWCP-1500.

[[Page 13107]]


DATES: All comments must be received on or before April 22, 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 the DOL-OWCP, Office of 
Workers' Compensation Programs, U.S. Department of Labor, 200 
Constitution Avenue NW, Room S3524, Washington, DC 20210.
     OWCP will post your comments as well as any attachments, 
except for information submitted and marked as confidential, in the 
docket at https://www.regulations.gov.
     Because your comment will be made public, you are 
responsible for ensuring that your comment does not include any 
confidential information that you or a third party may not wish to be 
posted, such as your or anyone else's Social Security number or 
confidential business information.
     If your comment includes confidential information that you 
do not wish to be made available to the public, submit the comment as a 
written/paper submission.

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

SUPPLEMENTARY INFORMATION:

I. Background

    The Office of Workers' Compensation Programs (OWCP) is the agency 
responsible for administration of the Federal Employees' Compensation 
Act (FECA), 5 U.S.C. 8101--administered by the Division of Federal 
Employees' Compensation Program; the Black Lung Benefits Act (BLBA), 30 
U.S.C. 901--administered by the Division of Coal Miner Workers' 
Compensation Program; and the Energy Employees Occupational Illness 
Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 administered 
by the Division of Energy Employees Occupational Illness Compensation 
Programs. All three of these statutes require that OWCP pay for medical 
treatment of beneficiaries; BLBA also requires that OWCP pay for 
medical examinations and related diagnostic services to determine 
eligibility for benefits under that statute. In order to determine 
whether billed amounts are appropriate, OWCP needs to identify the 
patient, the injury or illness that was treated or diagnosed, 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-1500 for medical bills submitted 
by certain physicians and other providers (20 CFR 10.801, 20 CFR 
725.704, 30.701, 725.405, 725.406(e), 725.701 and 725.715).

II. Desired Focus of Comments

    OWCP is soliciting comments concerning the proposed information 
collection related to the Health Insurance Claim Form (OWCP-1500).
    OWCP 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, Washington, DC 20210. Questions about the 
information collection requirements may be directed to the person 
listed in the FOR FURTHER INFORMATION section of this notice.

III. Current Actions

    This information collection request concerns the Health Insurance 
Claim Form, OWCP-1500. 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, without change, of a currently approved 
collection.
    Agency: Office of Workers' Compensation Programs.
    OMB Number: 1240-0044.
    Affected Public: Private Sector.
    Number of Respondents: 57,099.
    Frequency: On Occasion.
    Number of Responses: 3,381,232.
    Annual Burden Hours: 394,477.
    Annual Respondent or Recordkeeper Cost: $0.
    OWCP Form: OWCP Form OWCP-1500, Health Insurance Claim Form.
    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. 2024-03438 Filed 2-20-24; 8:45 am]
BILLING CODE 4510-CR-P

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