Agency Information Collection Activities; Submission for OMB Review; Comment Request; Health Insurance Claim Form, 51373-51374 [2024-13272]

Download as PDF khammond on DSKJM1Z7X2PROD with NOTICES Federal Register / Vol. 89, No. 117 / Monday, June 17, 2024 / Notices 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: Michael Howell by telephone at 202– 693–6782, or by email at DOL_PRA_ PUBLIC@dol.gov. SUPPLEMENTARY INFORMATION: The U.S. Department of Labor’s (DOL) Office of Federal Contract Compliance Programs (OFCCP) is seeking Office of Management and Budget approval for a revision to the information collection implementing OFCCP’s construction program. This information collection request (ICR) outlines the legal authority, procedures, burden, and costs associated with the recordkeeping and reporting requirements for Federal construction contractors and subcontractors as well as federally assisted construction contractors and subcontractors. This ICR includes the information collection instrument that notifies construction contractors that they have been selected to undergo a construction compliance evaluation: the construction compliance review scheduling letter and itemized listing. This ICR also includes the Construction Contract Award Notification Requirement Form (CC–314). The CC– 314 is a form that construction contractors submit to OFCCP notifying the agency of new contract awards that exceed $10,000. For additional substantive information about this ICR, see the related notice published in the Federal Register on February 26, 2024 (89 FR 14109). 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) 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; (3) ways to enhance the quality, utility and clarity of the information collection; and (4) 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 VerDate Sep<11>2014 17:00 Jun 14, 2024 Jkt 262001 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–OFCCP. Title of Collection: Office of Federal Contract Compliance Programs Construction Recordkeeping and Reporting Requirements. OMB Control Number: 1250–0001. Affected Public: Businesses or other for-profits. Total Estimated Number of Respondents: 9,982. Total Estimated Number of Responses: 29,162. Total Estimated Annual Time Burden: 136,211 hours. Total Estimated Annual Other Costs Burden: $3,926. (Authority: 44 U.S.C. 3507(a)(1)(D)) Michael Howell, Senior Paperwork Reduction Act Analyst. [FR Doc. 2024–13273 Filed 6–14–24; 8:45 am] BILLING CODE 4510–CM–P DEPARTMENT OF LABOR Agency Information Collection Activities; Submission for OMB Review; Comment Request; Health Insurance Claim 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 July 17, 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 SUMMARY: PO 00000 Frm 00074 Fmt 4703 Sfmt 4703 51373 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. Form OWCP–1500 is used by OWCP and contractor bill payment staff to process bills for medical services provided by medical professionals other than medical services provided by hospitals, pharmacies and certain other medical providers. This information is required to pay health care providers for services rendered to injured employees covered under the Office of Workers’ Compensation Programs—administered programs. Appropriate payment cannot be made without documentation of the medical services that were provided by the health care provider that is billing OWCP. The information obtained to complete claims under these programs is used to identify the patient and determine their eligibility. It is also used to decide if the services and supplies received are covered by these programs and to assure that proper payment is made. For additional substantive information about this ICR, see the related notice published in the Federal Register on February 21, 2024 (89 FR 13106). 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. SUPPLEMENTARY INFORMATION: E:\FR\FM\17JNN1.SGM 17JNN1 51374 Federal Register / Vol. 89, No. 117 / Monday, June 17, 2024 / Notices 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: Health Insurance Claim Form. OMB Control Number: 1240–0044. Affected Public: Private Sector— Businesses or other for-profits. Total Estimated Number of Respondents: 43,706. Total Estimated Number of Responses: 3,544,050. Total Estimated Annual Time Burden: 413,473 hours. Total Estimated Annual Other Costs Burden: $0. (Authority: 44 U.S.C. 3507(a)(1)(D)) Michelle Neary, Senior Paperwork Reduction Act Analyst. Thursday, June 27, 2024 [FR Doc. 2024–13272 Filed 6–14–24; 8:45 am] BILLING CODE 4510–CR–P LEGAL SERVICES CORPORATION Sunshine Act Meeting The Finance and the Governance and Performance Review Committees of the Legal Services Corporation Board of Directors will meet virtually on June 24, 2024 and June 27, 2024 respectively. The Finance Committee meeting will begin at 2:00 p.m. EDT, and will continue until the conclusion of the Committee’s agenda. The Governance and Performance Review Committee meeting will begin at 2:30 p.m. EDT, and will continue until the conclusion of the Committee’s agenda. PLACE: Public Notice of Virtual Meeting: LSC will conduct the June 24, 2024 and June 27, 2024 meetings via Zoom. Public Observation: Unless otherwise noted herein, the Finance and the Governance and Performance Review Committees meeting will be open to public observation via Zoom. Members of the public who wish to participate remotely in the public proceedings may do so by following the directions provided below. khammond on DSKJM1Z7X2PROD with NOTICES TIME AND DATE: Directions for Open Sessions Monday, June 24, 2024 To join the Zoom meeting by computer, please use this link. • https://lsc-gov.zoom.us/j/ 81631211021?pwd=ZvUaqpAvtldvp VerDate Sep<11>2014 17:00 Jun 14, 2024 Jkt 262001 7W39HhiL TqY7S4Oxm.1&from=addon Meeting ID: 816 3121 1021 Æ Passcode: 62424 • To join the Zoom meeting with one tap from your mobile phone, please click dial: Æ +13017158592,,88527065662# US (Washington DC) Æ +16468769923,,88527065662# US (New York) • To join the Zoom meeting by telephone, please dial one of the following numbers: Æ +1 301 715 8592 US (Washington, DC) Æ +1 646 876 9923 US (New York) Æ +1 312 626 6799 US (Chicago) Æ +1 346 248 7799 US (Houston) Æ +1 408 638 0968 US (San Jose) Æ +1 669 900 6833 US (San Jose) Æ +1 253 215 8782 US (Tacoma) Æ ID: 816 3121 1021 Æ Passcode: 62424 To join the Zoom meeting by computer, please use this link. • https://lsc-gov.zoom.us/j/ 89793757434?pwd=T5LxXApetLP uRNNjqXUqFRd2 nvcRu8.1&from=addon Meeting ID: 897 9375 7434 Æ Passcode: 62724 • To join the Zoom meeting with one tap from your mobile phone, please click dial: Æ +13017158592,,88527065662# US (Washington DC) Æ +16468769923,,88527065662# US (New York) • To join the Zoom meeting by telephone, please dial one of the following numbers: Æ +1 301 715 8592 US (Washington, DC) Æ +1 646 876 9923 US (New York) Æ +1 312 626 6799 US (Chicago) Æ +1 346 248 7799 US (Houston) Æ +1 408 638 0968 US (San Jose) Æ +1 669 900 6833 US (San Jose) Æ +1 253 215 8782 US (Tacoma) Æ ID: 897 9375 7434 Æ Passcode: 62724 Once connected to Zoom, please immediately mute your computer or telephone. Members of the public are asked to keep their computers or telephones muted to eliminate background noise. To avoid disrupting the meetings, please refrain from placing the call on hold if doing so will trigger recorded music or other sound. From time to time, the Finance or the Governance and Performance Review Chairs may solicit comments from the public. To participate in the meeting PO 00000 Frm 00075 Fmt 4703 Sfmt 9990 during public comment, use the ‘raise your hand’ or ‘chat’ functions in Zoom and wait to be recognized by the Chair before stating your questions and/or comments. MATTERS TO BE CONSIDERED: Meeting Schedule Monday, June 24, 2024 Start Time: 2:00 p.m. EDT Finance Committee Open to the Public 1. Approval of Meeting Agenda 2. Discussion with LSC Leadership Regarding Recommendations for the Organization’s Fiscal Year 2026 Budget Request 3. Discussion with Leadership from the Office of Inspector General (OIG) for the Legal Services Corporation Regarding OIG’s Fiscal Year 2026 Budget Request 4. Public Comment 5. Consider and Act on Other Business 6. Consider and Act on Adjournment of Meeting Thursday, June 27, 2024 Start Time: 2:30 p.m. EDT Governance & Performance Review Committee Open to the Public 1. Approval of Agenda 2. Approval of Minutes of the Committee’s Open and Closed Session Meeting on March 26, 2024 3. Report on U.S. Department of Justice’s Access to Justice Office and White House Legal Aid Interagency Roundtable (LAIR) 4. Public Comment 5. Consider and Act on Other Business 6. Consider and Act on Motion to Adjourn the Committee Meeting CONTACT PERSON FOR MORE INFORMATION: Cheryl DuHart, Administrative Coordinator, at (202) 295–1621. Questions may also be sent by electronic mail to duhartc@lsc.gov. Non-Confidential Meeting Materials: Non-confidential meeting materials will be made available in electronic format at least 24 hours in advance of the meeting on the LSC website, at https:// www.lsc.gov/about-lsc/board-meetingmaterials. (Authority: 5 U.S.C. 552b) Dated: June 12, 2024. Stefanie Davis, Deputy General Counsel, Legal Services Corporation. [FR Doc. 2024–13335 Filed 6–13–24; 11:15 am] BILLING CODE 7050–01–P E:\FR\FM\17JNN1.SGM 17JNN1

Agencies

[Federal Register Volume 89, Number 117 (Monday, June 17, 2024)]
[Notices]
[Pages 51373-51374]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-13272]


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DEPARTMENT OF LABOR


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Health Insurance Claim 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 July 17, 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-1500 is used by OWCP and 
contractor bill payment staff to process bills for medical services 
provided by medical professionals other than medical services provided 
by hospitals, pharmacies and certain other medical providers. This 
information is required to pay health care providers for services 
rendered to injured employees covered under the Office of Workers' 
Compensation Programs--administered programs. Appropriate payment 
cannot be made without documentation of the medical services that were 
provided by the health care provider that is billing OWCP. The 
information obtained to complete claims under these programs is used to 
identify the patient and determine their eligibility. It is also used 
to decide if the services and supplies received are covered by these 
programs and to assure that proper payment is made. For additional 
substantive information about this ICR, see the related notice 
published in the Federal Register on February 21, 2024 (89 FR 13106).
    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.

[[Page 51374]]

    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: Health Insurance Claim Form.
    OMB Control Number: 1240-0044.
    Affected Public: Private Sector--Businesses or other for-profits.
    Total Estimated Number of Respondents: 43,706.
    Total Estimated Number of Responses: 3,544,050.
    Total Estimated Annual Time Burden: 413,473 hours.
    Total Estimated Annual Other Costs Burden: $0.

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

Michelle Neary,
Senior Paperwork Reduction Act Analyst.
[FR Doc. 2024-13272 Filed 6-14-24; 8:45 am]
BILLING CODE 4510-CR-P


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