Proposed New Information Collection; Form CA-21, Attending Physician's Certification of Continuing Workers' Compensation Disability (OMB Control No. 1240-0NEW), 51905-51906 [2024-13437]
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accurate information on the
performance of workforce programs to
policymakers and stakeholders.
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 it is
approved by OMB under the PRA 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 Control Number. See 5 CFR
1320.5(a) and 1320.6.
Interested parties are encouraged to
provide comments to the contact shown
in the ADDRESSES section. Comments
must be written to receive
consideration, and they will be
summarized and included in the request
for OMB approval of the final ICR. In
order to help ensure appropriate
consideration, comments should
mention DOL Only 1205–0521.
Submitted comments will also be a
matter of public record for this ICR and
posted on the internet, without
redaction. DOL encourages commenters
not to include personally identifiable
information, confidential business data,
or other sensitive statements/
information in any comments.
DOL is particularly interested in
comments that:
• Evaluate whether the proposed
collection of information is necessary
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
• 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).
Agency: DOL–ETA.
Type of Review: Revision.
Title of Collection: DOL-only
Performance Accountability,
Information, and Reporting System.
Forms: DOL Participant Individual
Record Layout (PIRL, ETA–9172);
(Program). Performance Report (ETA–
VerDate Sep<11>2014
17:08 Jun 18, 2024
Jkt 262001
9173); Pay-for Performance Report
(ETA–9174).
OMB Control Number: 1205–0521.
Affected Public: State, Local, and
Tribal Governments.
Estimated Number of Respondents:
22,687,331.
Frequency: Varies.
Total Estimated Annual Responses:
46,167,618.
Estimated Average Time per
Response: Varies.
Estimated Total Annual Burden
Hours: 11,735,522.
Total Estimated Annual Other Cost
Burden: $9,491,287.
Authority: 44 U.S.C. 3506(c)(2)(A).
José Javier Rodrı́guez,
Assistant Secretary for Employment and
Training, Labor.
[FR Doc. 2024–13436 Filed 6–18–24; 8:45 am]
BILLING CODE 4510–FN–P
DEPARTMENT OF LABOR
Office of the Worker’s Compensation
Programs
Proposed New Information Collection;
Form CA–21, Attending Physician’s
Certification of Continuing Workers’
Compensation Disability (OMB Control
No. 1240–0NEW)
Office of Workers’
Compensation, Division of Federal
Employees’ Longshore and Harbor
Workers’ Compensation, (OWCP/
DFELHWC), 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/
DFELHWC is soliciting comments on
the new information collection for
Attending Physician’s Certification of
Continuing Workers’ Compensation
Disability, CA–21.
DATES: All comments must be received
on or before August 19, 2024.
ADDRESSES: You may submit comment
as follows. Please note that late,
SUMMARY:
PO 00000
Frm 00036
Fmt 4703
Sfmt 4703
51905
untimely filed comments will not be
considered.
Electronic Submissions: Submit
electronic comments in the following
way:
• Federal eRulemaking Portal:
https://www.regulations.gov. Follow the
instructions for submitting comments
for WCPO–2024–0012. Comments
submitted electronically, including
attachments, to https://
www.regulations.gov will be posted to
the docket, with no changes. 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.
Written/Paper Submissions: Submit
written/paper submissions in the
following way:
• Mail/Hand Delivery: Mail or visit
U.S. DOL-Office of Workers’
Compensation Programs, OWCP, Room
S3323, 200 Constitution Avenue NW,
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
suggs.anjanette@dol.gov (email); (202)
354–9660 (voice).
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Worker’s Compensation
Programs (OWCP) administers the
Federal Employees’ Compensation Act
(FECA), which provides for medical and
compensation benefits for work related
injuries or disease from federal
employment. 5 U.S.C. 8149, Congress
gives the Secretary of Labor authority to
prescribe the rules and regulations
necessary for the administration and
enforcement of the FECA.
The relevant statutory provision 5
U.S.C. 8103, Medical services and initial
medical and other benefits, which reads
as follows:
(a) The United States shall furnish to
an employee who is injured while in the
performance of duty, the services,
appliances, and supplies prescribed or
recommended by a qualified physician,
which the Secretary of Labor considers
E:\FR\FM\20JNN1.SGM
20JNN1
khammond on DSKJM1Z7X2PROD with NOTICES
51906
Federal Register / Vol. 89, No. 119 / Thursday, June 20, 2024 / Notices
likely to cure, give relief, reduce the
degree or the period of disability, or aid
in lessening the amount of the monthly
compensation. These services,
appliances, and supplies shall be
furnished—
(1) whether or not disability has
arisen;
(2) notwithstanding that the employee
has accepted or is entitled to receive
benefits under subchapter III of chapter
83 of this title or another retirement
system for employees of the
Government; and
(3) by or on the order of United States
medical officers and hospitals, or, at the
employee’s option, by or on the order of
physicians and hospitals designated or
approved by the Secretary. The
employee may initially select a
physician to provide medical services,
appliances, and supplies, in accordance
with such regulations and instructions
as the Secretary considers necessary,
and may be furnished necessary and
reasonable transportation and expenses
incident to the securing of such
services, appliances, and supplies.
These expenses, when authorized or
approved by the Secretary, shall be paid
from the Employees’ Compensation
Fund.
(b) The Secretary, under such
limitations or conditions as he considers
necessary, may authorize the employing
agencies to provide for the initial
furnishing of medical and other benefits
under this section. The Secretary may
certify vouchers for these expenses out
of the Employees’ Compensation Fund
when the immediate superior of the
employee certifies that the expense was
incurred in respect to an injury which
was accepted by the employing agency
as probably compensable under this
subchapter. The Secretary shall
prescribe the form and content of the
certificate.
In accordance with 20 CFR 10.330,
OWCP requires each employee who is
receiving benefits to provide a medical
report from their attending physician.
Per 20 CFR 10.332, OWCP will request
the attending physician to provide a
report at periodic intervals in all cases
requiring hospital treatment or
prolonged care. The attending physician
will be asked to describe the continuing
need for medical treatment for the
accepted condition, prognosis,
description of work tolerance
limitations, and the physician’s opinion
on causal relationship between the
diagnosed condition and the employee’s
work factors.
Further, 20 CFR 10.501 states:
(a) The employee is responsible for
providing sufficient medical evidence to
VerDate Sep<11>2014
17:08 Jun 18, 2024
Jkt 262001
justify payment of any compensation
sought.
(1) To support payment of continuing
compensation where an employee has
been found entitled to periodic benefits,
narrative medical evidence must be
submitted whenever OWCP requests it
but ordinarily not less than once a year
and with any filing of a form CA–1032.
It must contain a physician’s
rationalized opinion as to whether the
specific period of alleged disability is
causally related to the employee’s
accepted injury or illness.
(2) For those employees with more
serious conditions not likely to improve
and for employees over the age of 65,
OWCP may require less frequent
documentation, but ordinarily not less
than once every three years.
References: 5 U.S.C. 8149, 5 U.S.C.
8103, 20 CFR 10.330, 20 CFR
10.332, and 20 CFR. 10.501.
See: https://www.dol.gov/owcp/dfec/
regs/statutes/feca.htm#)
See: eCFR: 20 CFR part 10—Claims for
Compensation Under the Federal
Employees’ Compensation Act, as
Amended
II. Desired Focus of Comments
OWCP is soliciting comments
concerning the proposed information
collection related to the Attending
Physician’s Certification of Continuing
Workers’ Compensation Disability.
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 U.S.
Department of Labor, Office of Workers’
Compensation Programs, Room S3323,
200 Constitution Avenue NW,
Washington, DC 20210. Questions about
the information collection requirements
may be directed to the person listed in
PO 00000
Frm 00037
Fmt 4703
Sfmt 4703
the FOR FURTHER INFORMATION section of
this notice.
III. Current Actions
This information collection request
concerns Attending Physician’s
Certification of Continuing Workers’
Compensation Disability, CA–21.
Type of Review: New collection.
Agency: DOL—Office of Workers’
Compensation Programs.
OMB Number: 1240–0NEW.
Affected Public: Private Sector—
Businesses or other for-profits.
Number of Respondents: 33,372.
Frequency: On Occasion.
Number of Responses: 33,372.
Annual Burden Hours: 2,670 hours.
Annual Respondent or Recordkeeper
Cost: $25,029.00.
OWCP Forms: OWCP Form CA–21,
Attending Physician’s Certification of
Continuing Workers’ Compensation
Disability.
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. 2024–13437 Filed 6–18–24; 8:45 am]
BILLING CODE 4510–CH–P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Proposed Revision of Information
Collection; FECA Medical Report
Forms, Claim for Compensation, OMB
Control No. 1240–0046
Office of Workers’
Compensation Programs, Division of
Federal Employees’ Longshore and
Harbor Workers’ Compensation,
(OWCP/DFELHWC) 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
SUMMARY:
E:\FR\FM\20JNN1.SGM
20JNN1
Agencies
- DEPARTMENT OF LABOR
- Office of the Worker's Compensation Programs
[Federal Register Volume 89, Number 119 (Thursday, June 20, 2024)]
[Notices]
[Pages 51905-51906]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-13437]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of the Worker's Compensation Programs
Proposed New Information Collection; Form CA-21, Attending
Physician's Certification of Continuing Workers' Compensation
Disability (OMB Control No. 1240-0NEW)
AGENCY: Office of Workers' Compensation, Division of Federal Employees'
Longshore and Harbor Workers' Compensation, (OWCP/DFELHWC), 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/DFELHWC is soliciting comments on the new information
collection for Attending Physician's Certification of Continuing
Workers' Compensation Disability, CA-21.
DATES: All comments must be received on or before August 19, 2024.
ADDRESSES: You may submit comment as follows. Please note that late,
untimely filed comments will not be considered.
Electronic Submissions: Submit electronic comments in the following
way:
Federal eRulemaking Portal: https://www.regulations.gov.
Follow the instructions for submitting comments for WCPO-2024-0012.
Comments submitted electronically, including attachments, to https://www.regulations.gov will be posted to the docket, with no changes.
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.
Written/Paper Submissions: Submit written/paper submissions in the
following way:
Mail/Hand Delivery: Mail or visit U.S. DOL-Office of
Workers' Compensation Programs, OWCP, Room S3323, 200 Constitution
Avenue NW, 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 (voice).
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Worker's Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA), which provides for medical
and compensation benefits for work related injuries or disease from
federal employment. 5 U.S.C. 8149, Congress gives the Secretary of
Labor authority to prescribe the rules and regulations necessary for
the administration and enforcement of the FECA.
The relevant statutory provision 5 U.S.C. 8103, Medical services
and initial medical and other benefits, which reads as follows:
(a) The United States shall furnish to an employee who is injured
while in the performance of duty, the services, appliances, and
supplies prescribed or recommended by a qualified physician, which the
Secretary of Labor considers
[[Page 51906]]
likely to cure, give relief, reduce the degree or the period of
disability, or aid in lessening the amount of the monthly compensation.
These services, appliances, and supplies shall be furnished--
(1) whether or not disability has arisen;
(2) notwithstanding that the employee has accepted or is entitled
to receive benefits under subchapter III of chapter 83 of this title or
another retirement system for employees of the Government; and
(3) by or on the order of United States medical officers and
hospitals, or, at the employee's option, by or on the order of
physicians and hospitals designated or approved by the Secretary. The
employee may initially select a physician to provide medical services,
appliances, and supplies, in accordance with such regulations and
instructions as the Secretary considers necessary, and may be furnished
necessary and reasonable transportation and expenses incident to the
securing of such services, appliances, and supplies. These expenses,
when authorized or approved by the Secretary, shall be paid from the
Employees' Compensation Fund.
(b) The Secretary, under such limitations or conditions as he
considers necessary, may authorize the employing agencies to provide
for the initial furnishing of medical and other benefits under this
section. The Secretary may certify vouchers for these expenses out of
the Employees' Compensation Fund when the immediate superior of the
employee certifies that the expense was incurred in respect to an
injury which was accepted by the employing agency as probably
compensable under this subchapter. The Secretary shall prescribe the
form and content of the certificate.
In accordance with 20 CFR 10.330, OWCP requires each employee who
is receiving benefits to provide a medical report from their attending
physician. Per 20 CFR 10.332, OWCP will request the attending physician
to provide a report at periodic intervals in all cases requiring
hospital treatment or prolonged care. The attending physician will be
asked to describe the continuing need for medical treatment for the
accepted condition, prognosis, description of work tolerance
limitations, and the physician's opinion on causal relationship between
the diagnosed condition and the employee's work factors.
Further, 20 CFR 10.501 states:
(a) The employee is responsible for providing sufficient medical
evidence to justify payment of any compensation sought.
(1) To support payment of continuing compensation where an employee
has been found entitled to periodic benefits, narrative medical
evidence must be submitted whenever OWCP requests it but ordinarily not
less than once a year and with any filing of a form CA-1032. It must
contain a physician's rationalized opinion as to whether the specific
period of alleged disability is causally related to the employee's
accepted injury or illness.
(2) For those employees with more serious conditions not likely to
improve and for employees over the age of 65, OWCP may require less
frequent documentation, but ordinarily not less than once every three
years.
References: 5 U.S.C. 8149, 5 U.S.C. 8103, 20 CFR 10.330, 20 CFR 10.332,
and 20 CFR. 10.501.
See: https://www.dol.gov/owcp/dfec/regs/statutes/feca.htm#)
See: eCFR: 20 CFR part 10--Claims for Compensation Under the Federal
Employees' Compensation Act, as Amended
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection related to the Attending Physician's Certification of
Continuing Workers' Compensation Disability. 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
U.S. Department of Labor, Office of Workers' Compensation Programs,
Room S3323, 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 Attending Physician's
Certification of Continuing Workers' Compensation Disability, CA-21.
Type of Review: New collection.
Agency: DOL--Office of Workers' Compensation Programs.
OMB Number: 1240-0NEW.
Affected Public: Private Sector--Businesses or other for-profits.
Number of Respondents: 33,372.
Frequency: On Occasion.
Number of Responses: 33,372.
Annual Burden Hours: 2,670 hours.
Annual Respondent or Recordkeeper Cost: $25,029.00.
OWCP Forms: OWCP Form CA-21, Attending Physician's Certification of
Continuing Workers' Compensation Disability.
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. 2024-13437 Filed 6-18-24; 8:45 am]
BILLING CODE 4510-CH-P