Proposed Collection; Comment Request
[05/25/2005]
Volume 70, Number 100, Page 30141-30142
-----------------------------------------------------------------------
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 collection: Certificate of Medical
Necessity (CM-893). A copy of the proposed information collection
request can be obtained by contacting the office listed below in the
addresses section of this Notice.
DATES: Written comments must be submitted to the office listed in the
addresses section below on or before July 25, 2005.
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 bell.hazel@dol.gov. Please
use only one method of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Workers' Compensation Programs administers the
Federal Black Lung Workers' Compensation Program. The enabling
regulations of the Black
[[Page 30142]]
Lung Benefits Act, at 20 CFR 725.701, establishes miner eligibility for
medical services and supplies for the length of time required by the
miner's condition and disability. 20 CFR.706 stipulates there must be
prior approval before ordering an apparatus where the purchase price
exceeds $300.00. 20 CFR 725.707 provides for the ongoing supervision of
the miner's medical care, including the necessity, character and
sufficiency of care to be furnished; gives the authority to request
medical reports and indicates the right to refuse payment for failing
to submit any report required. Because of the above legislation and
regulations, it was necessary to devise a form to collect the required
information. The CM-893, Certificate of Medical Necessity is completed
by the coal miner's doctor and is used by the Division of Coal Mine
Worker's Compensation to determine if the miner meets impairment
standards to qualify for durable medical equipment, home nursing, and/
or pulmonary rehabilitation. This information collection is currently
approved for use through November 30, 2005.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
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 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 determine
the eligibility for reimbursement of medical benefits to Black Lung
recipients.
Type of Review: Extension.
Agency: Employment Standards Administration.
Title: Certificate of Medical Necessity.
OMB Number: 1215-0113.
Agency Number: CM-893.
Affected Public: Individuals or households; Business or other for
profit, Not-for-profit institutions.
Total Respondents: 4,000.
Total Annual responses: 4,000.
Estimated Total Burden Hours: 1,567.
Time Per Response: 20 to 40 minutes.
Frequency: On occasion.
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: May 19, 2005.
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. E5-2639 Filed 5-24-05; 8:45 am
|
