Proposcd Collection; Comment Request [06/06/2003]
Volume 68, Number 109, Page 34008-34009
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DEPARTMENT OF LABOR
Employment Standards Administration
Proposcd 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 collection: Health Insurance Claim
Form (OWCP-1500). A copy of the proposed information collection request
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 August 5, 2003.
ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0418, fax (202) 693-1451, Email hbell@fenix2.dol-esa.gov.
Please use only one method of transmission for comments (mail, fax, or
Email).
SUPPLEMENTARY INFORMATION
I. Background
The Office of Workers' Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA) (5 U.S.C. 8101, et seq.),
the Black Lung Benefits Act (BLBA) (30 U.S.C. 901 et seq.) and the
Energy Employees Occupational Illness Compensation Program Act of 2000
(EEOICPA), 42 U.S.C. 7384 et seq. All three of these statutes require
that OWCP pay for medical treatment of beneficiaries; BLBA also
requires that OWCP pay for medical examinations and related diagnostic
services to determine eligibility for benefits under that statute. The
OWCP-1500 is a form
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used by bill payment staff to process requests for payment for medical
services provided by medical professionals other than hospitals,
pharmacies, and certain other providers. This information collection is
currently approved for use through November 30, 2003.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
[sbull] 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;
[sbull] 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;
[sbull] Enhance the quality, utility and clarity of the information
to be collected; and
[sbull] 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 approval for the extension of this
information collection in order to carry out its responsibility to
provide payment for certain covered medical services to injured
employees who are covered under FECA, BLBA and EEOICPA.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Health Insurance Claim Form.
OMB Number: 1215-0055.
Agency Number: OWCP-1500.
Affected Public: Individual or households; business or other for-
profit; not-for-profit institutions.
Total Respondents: 533,427.
Total Responses: 2,133,708.
Time per Response: 7 minutes.
Frequency: On occasion.
Estimated Total Burden Hours: 248,812.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $0.
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 2, 2003.
Bruce Bohanon,
Chief, Branch of Management Review and Internal Control, Division of
Financial Management, Office of Management, Administration and
Planning,Employment Standards Administration.
[FR Doc. 03-14290 Filed 6-5-03; 8:45 am
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