Proposed Collection; Comment Request [Notices] [08/11/2000]
Proposed Collection; Comment Request [08/11/2000]
Volume 65, Number 156, Page 49268-49269
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DEPARTMENT OF LABOR
Employment Standards Administration
Proposed Collection; Comment Request
ACTION: Notice.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a preclearance
consultation program to provide the general public and Federal agencies
with an opportunity to comment on proposed and/or continuing
collections of information in accordance with the Paperwork Reduction
Act of 1995 (PRA95) [44 U.S.C. 3506(c)(2)(A)]. This program 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 Employment Standards Administration is soliciting
comments concerning the proposed extension collection of the following
information collections: (1) Claimant Medical Reimbursement Form (CA-
915); and (2) NCPDC Universal Pharmacy Billing Form (79-1A). Copies of
the proposed information collection requests can be obtained by
contacting the office listed below in the addressee section of this
Notice.
DATES: Written comments must be submitted to the office listed in the
addressee section below on or before October 10, 2000.
ADDRESSES: Ms. Patricia A. Forkel, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0339 (this is not a toll-free number), fax (202) 693-1451.
SUPPLEMENTARY INFORMATION:
Claimant Medical Reimbursement Form (CA-915)
I. Background
The Office of Workers' Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA) (5 U.S.C. 8101, et. seq.).
The statute provides, in addition to compensation for employment-
related injury and/or disability, payment to providers for certain
medical treatment and diagnostic services related to the injury or
disability. To determine whether the medical bills submitted by
providers of medical services, drugs, equipment, supplies, and other
therapy are appropriate, FECA requires that the provider billing the
government supply certain information. The CA-915 provides a
standardized format for the beneficiary (injured employee) to bill OWCP
for recovery of fees paid in connection with their treatment.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
<bullet> 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;
<bullet> 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;
<bullet> Enhance the quality, utility and clarity of the
information to be collected; and
<bullet> 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 submissions of responses.
III. Current Actions
The Department of Labor seeks the extension of approval to collect
this information in order to carry out its responsibility to provide
payment for certain covered medical services to injured employees who
are covered under the FECA.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Claimant Medical Reimbursement Form.
OMB Number: 1215-0193.
Agency Number: CA-915.
Affected Public: Individuals or households; Federal Government.
Total Respondents: 41,907.
Frequency: On occasion.
Total Responses: 41,907.
Time per Response: 10 minutes.
Estimated Total Burden Hours: 6,597.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $15,086.52
NCPDP Universal Pharmacy Billing Form (79-1A)
I. Background
The Office of Workers' Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA) (5 U.S.C. 8101, et. seq.),
and the Federal Black Lung Benefits provisions of the Federal Mine
Safety and Health Act (30 U.S.C. 901 et. seq.). These statutes provide,
in addition to compensation for employment-related injury and/or
disability, payment to providers for certain medical treatment and
diagnostic services related to the injury or disability. To determine
whether the medical bills submitted by providers of medical services,
drugs, equipment, supplies, and other therapy are appropriate, both
FECA and Black Lung Programs require that the provider billing the
government supply certain information. The National Council for
Prescription Drug Programs (NCPDP) Universal Pharmacy Billing form (79-
1A) is in common use by pharmacies throughout the nation and considered
the universal billing form for pharmaceuticals. It is the bill format
commonly accepted by Federal programs and private insurance carriers
for the purpose of reimbursement of covered pharmaceuticals.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
<bullet> 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;
<bullet> 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;
<bullet> Enhance the quality, utility and clarity of the
information to be collected; and
<bullet> 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 submissions of responses.
III. Current Actions
The Department of Labor seeks the extension of approval to collect
this information in order to carry out its responsibility to provide
payment for
[[Page 49269]]
pharmaceuticals covered under the Acts.
Type of Review: Extension.
AGENCY: Employment Standards Administration.
Title: NCPDP Universal Pharmacy Billing Form.
OMB Number: 1215-0194.
Agency Number: 79-1A.
Affected Public: Business or other for-profit; Not-for-profit
institutions; Individuals or households; Federal Government; State,
Local or Tribal Government.
Total Respondents: 594,974.
Frequency: On occasion.
Total Responses: 594,974.
Time per Response: 5 minutes.
Estimated Total Burden Hours: 48,382.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $17,864.
Comments submitted in response to this notice will be summarized
and/or included in the request for Office of Management and Budget
approval of the information collection request; they will also become a
matter of public record.
Dated: August 8, 2000.
Margaret J. Sherrill,
Chief, Branch of Management Review and Internal Control, Division of
Financial Management, Office of Management, Administration and
Planning, Employment Standards Administration.
[FR Doc. 00-20420 Filed 8-10-00; 8:45 am]
BILLING CODE 4510-47-P
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