Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Medical Reimbursement, 46909-46910 [2024-11810]

Download as PDF 46909 Federal Register / Vol. 89, No. 105 / Thursday, May 30, 2024 / Notices DEPARTMENT OF JUSTICE [OMB Number 1103–0118] Agency Information Collection Activities; Proposed eCollection eComments Requested; Extension of a Previously Approved Collection; Tribal Access Program Application Office of the Chief Information Officer, Department of Justice. ACTION: 30-Day notice. AGENCY: The Office of the Chief Information Officer, Department of Justice (DOJ), will be submitting the following information collection request to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995. The proposed information collection was previously published in the Federal Register on March 15, 2024, allowing a 60-day comment period. DATES: Comments are encouraged and will be accepted for 30 days until July 1, 2024. FOR FURTHER INFORMATION CONTACT: If you have comments especially on the estimated public burden or associated response time, suggestions, or need a copy of the proposed information collection instrument with instructions or additional information, please contact: Allison Spratlin, Program Manager, 145 N Street NW, Washington, DC 20530; (202)532–5047; Allison.spratlin@usdoj.gov. SUPPLEMENTARY INFORMATION: Written comments and suggestions from the public and affected agencies concerning the proposed collection of information are encouraged. Your comments should address one or more of the following four points: —Evaluate whether the proposed collection of information is necessary SUMMARY: 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/or —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. Written comments and recommendations for this information collection should be submitted within 30 days of the publication of this notice on the following website 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 and entering either the title of the information collection or the OMB Control Number [OMB Number 1103– 0118]. This information collection request may be viewed at www.reginfo.gov. Follow the instructions to view Department of Justice, information collections currently under review by OMB. DOJ 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 DOJ notes that information collection requirements submitted to the OMB for existing ICRs Number of respondents ddrumheller on DSK120RN23PROD with NOTICES1 Activity Frequency (annually) receive a month-to-month extension while they undergo review. Overview of This Information Collection 1. Type of Information Collection: Extension of a previously approved collection. 2. Title of the Form/Collection: Tribal Access Program Application. 3. Agency form number, if any, and the applicable component of the Department of Justice sponsoring the collection: There is no agency form number for this collection. The applicable component within the Department of Justice is Office of the Chief Information Officer. 4. Affected public who will be asked or required to respond, as well as a brief abstract: Affected Public: Federally recognized Tribes. The obligation to respond is voluntary. Abstract: The U.S. Department of Justice (DOJ) launched the Tribal Access Program for National Crime Information (TAP) provide Tribes access to national crime information systems for both criminal justice and non-criminal justice purposes. DOJ has developed an application for use by federally recognized Tribes interested in participating in TAP. 5. Obligation to Respond: Voluntary to obtain a benefit. 6. Total Estimated Number of Respondents: The estimated number of respondents for this collection is 50. 7. Estimated Time per Respondent: The total annual burden hours for this collection is 50 hours. 8. Frequency: Annually. 9. Total Estimated Annual Time Burden: The total annual burden hours for this collection is 50 hours. 10. Total Estimated Annual Other Costs Burden: $0. Time per response (hours) Total annual responses Total annual burden (hours) TAPS Application ................................................................. 50 1 50 1 50 Totals ............................................................................ 50 ........................ 50 ........................ 50 If additional information is required, contact: Darwin Arceo, Department Clearance Officer, Policy and Planning Staff, Justice Management Division, United States Department of Justice, Two Constitution Square, 145 N Street NE, 4W–218 Washington, DC 20530. Dated: May 23, 2024. Darwin Arceo, Department Clearance Officer for PRA, U.S. Department of Justice. [FR Doc. 2024–11831 Filed 5–29–24; 8:45 am] BILLING CODE 4410–ML–P DEPARTMENT OF LABOR Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Medical Reimbursement Notice of availability; request for comments. ACTION: VerDate Sep<11>2014 20:03 May 29, 2024 Jkt 262001 PO 00000 Frm 00057 Fmt 4703 Sfmt 4703 E:\FR\FM\30MYN1.SGM 30MYN1 46910 Federal Register / Vol. 89, No. 105 / Thursday, May 30, 2024 / Notices 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 July 1, 2024. 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. FOR FURTHER INFORMATION CONTACT: Michelle Neary by telephone at 202– 693–6312, or by email at DOL_PRA_ PUBLIC@dol.gov. SUPPLEMENTARY INFORMATION: Form OWCP–915 is used to claim reimbursement for out-of-pocket covered medical expenses paid by a beneficiary, and must be accompanied by required billing data elements (prepared by the medical provider) and by proof of payment by the beneficiary. For additional substantive information about this ICR, see the related notice published in the Federal Register on February 12, 2024 (89 FR 9869). 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. 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 ddrumheller on DSK120RN23PROD with NOTICES1 SUMMARY: VerDate Sep<11>2014 20:03 May 29, 2024 Jkt 262001 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: Claim for Medical Reimbursement. OMB Control Number: 1240–0007. Affected Public: Individuals or Households. Total Estimated Number of Respondents: 54,067. Total Estimated Number of Responses: 54,067. Total Estimated Annual Time Burden: 9,029 hours. Total Estimated Annual Other Costs Burden: $1,184. (Authority: 44 U.S.C. 3507(a)(1)(D)) Michelle Neary, Senior Paperwork Reduction Act Analyst. [FR Doc. 2024–11810 Filed 5–29–24; 8:45 am] BILLING CODE 4510–CR–P DEPARTMENT OF LABOR Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization Request Form/ Certification/Letter of Medical Necessity 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 July 1, 2024. 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. SUMMARY: PO 00000 Frm 00058 Fmt 4703 Sfmt 4703 FOR FURTHER INFORMATION CONTACT: Michelle Neary by telephone at 202– 693–6312, or by email at DOL_PRA_ PUBLIC@dol.gov. SUPPLEMENTARY INFORMATION: The form, Authorization Request Form and Certification/Letter of Medical Necessity Certification/Letter of Medical Necessity for Opioid Medications (CA–27), requires an injured worker’s treating physician to answer a number of questions about the prescribed opioids and certify that they are medically necessary to treat the work-related injury. The responses to the questions on the form is intended to ensure that treating physicians have considered non-opioid drug alternatives, and are only prescribing the most cost effective and medically necessary drugs. The form will also permit OWCP to more easily track the volume, type, and characteristics of opioids authorized by the FECA program. The form will serve as a means for injured workers to continue receiving opioids drugs only where medically necessary and simultaneously give OWCP greater oversight in monitoring their appropriate use and gather additional data about their use. For additional substantive information about this ICR, see the related notice published in the Federal Register on January 26, 2024 (89 FR 5263). 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. 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. E:\FR\FM\30MYN1.SGM 30MYN1

Agencies

[Federal Register Volume 89, Number 105 (Thursday, May 30, 2024)]
[Notices]
[Pages 46909-46910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-11810]


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DEPARTMENT OF LABOR


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Claim for Medical Reimbursement

ACTION: Notice of availability; request for comments.

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

[[Page 46910]]

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 July 1, 2024.

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.

FOR FURTHER INFORMATION CONTACT: Michelle Neary by telephone at 202-
693-6312, or by email at [email protected].

SUPPLEMENTARY INFORMATION: Form OWCP-915 is used to claim reimbursement 
for out-of-pocket covered medical expenses paid by a beneficiary, and 
must be accompanied by required billing data elements (prepared by the 
medical provider) and by proof of payment by the beneficiary. For 
additional substantive information about this ICR, see the related 
notice published in the Federal Register on February 12, 2024 (89 FR 
9869).
    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.
    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: Claim for Medical Reimbursement.
    OMB Control Number: 1240-0007.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 54,067.
    Total Estimated Number of Responses: 54,067.
    Total Estimated Annual Time Burden: 9,029 hours.
    Total Estimated Annual Other Costs Burden: $1,184.

(Authority: 44 U.S.C. 3507(a)(1)(D))

Michelle Neary,
Senior Paperwork Reduction Act Analyst.
[FR Doc. 2024-11810 Filed 5-29-24; 8:45 am]
BILLING CODE 4510-CR-P
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