Proposed Collection; Comment Request [Notices] [06/20/2000]
Proposed Collection; Comment Request [06/20/2000]
Volume 65, Number 119, Page 38302
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Employment Standards Administration
Proposed Collection; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
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 collection: Health Insurance Claim Form (OWCP-1500). 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
ADDRESSES section below on or before August 21, 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:
Health Insurance Claim Form (OWCP-1500)
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 Act (FBLBA) (30 U.S.C. 9101 et seq.).
These Acts provide for payment of medical expenses necessitated by a
work-related injury or disease to eligible injured workers. The OWCP-
1500 is a form used by bill payment staff to adjudicate requests for
reimbursement of medical services provided by medical professionals
other than hospitals, pharmacies, and certain other providers.
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 and the FBLBA.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Health Insurance Claim Form.
OMB Number: 1215-0055.
Agency Number: OWCP-1500.
Affected Public: Individuals or households, Businesses or other
for-profit; Not-for-profit institutions; Federal Government, State,
Local or Tribal Government.
Total Respondents: 1,267,049.
Frequency: On occasion.
Total Responses: 1,902,146.
Average Time per Response: 7 minutes.
Estimated Total Burden Hours: 188,994.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $47,242.
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: June 14, 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. 00-15473 Filed 6-19-00; 8:45 am]
BILLING CODE 24510-48-M
|
