Notice2023-11625
Agency Information Collection Activities; Comment Request; Medical Travel Refund Request (OWCP-957)
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 1, 2023
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor (DOL) is soliciting comments concerning a proposed extension of the information collection request (ICR) titled, "Medical Travel Request." This comment request is part of continuing Departmental efforts to reduce paperwork and respondent burden in accordance with the Paperwork Reduction Act of 1995 (PRA).
Full Text
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<title>Federal Register, Volume 88 Issue 105 (Thursday, June 1, 2023)</title>
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[Federal Register Volume 88, Number 105 (Thursday, June 1, 2023)]
[Notices]
[Pages 35932-35933]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-11625]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Medical Travel Refund Request (OWCP-957)
ACTION: Revision of a previously approved collection.
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SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a proposed extension of the information collection request
(ICR) titled, ``Medical Travel Request.'' This comment request is part
of continuing Departmental efforts to reduce paperwork and respondent
burden in accordance with the Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
July 31, 2023.
ADDRESSES: A copy of this ICR with applicable supporting documentation;
including a description of the likely respondents, proposed frequency
of response, and estimated total burden may be obtained free by
contacting Anjanette Suggs by telephone at (202) 354-9660 (this is not
a toll-free number) or by email at <a href="/cdn-cgi/l/email-protection#0d7e786a6a7e236c63676c63687979684d696261236a627b"><span class="__cf_email__" data-cfemail="4a393f2d2d39642b24202b242f3e3e2f0a2e2526642d253c">[email protected]</span></a>.
Submit written comments about, or requests for a copy of, this ICR
by mail or courier to the U.S. Department of Labor, Office of Workers'
Compensation Program, Room S-3323, 200 Constitution Avenue NW,
Washington, DC 20210; by email: <a href="/cdn-cgi/l/email-protection#1261677575613c737c78737c7766667752767d7e3c757d64"><span class="__cf_email__" data-cfemail="b3c0c6d4d4c09dd2ddd9d2ddd6c7c7d6f3d7dcdf9dd4dcc5">[email protected]</span></a>.
FOR FURTHER INFORMATION CONTACT: Contact Anjanette Suggs by telephone
at (202) 354-9660 (this is not a toll-free number) or by email at
<a href="/cdn-cgi/l/email-protection#f78482909084d996999d969992838392b793989bd9909881"><span class="__cf_email__" data-cfemail="1e6d6b79796d307f70747f707b6a6a7b5e7a717230797168">[email protected]</span></a>.
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to
reduce paperwork and respondent burden, conducts a pre-clearance
consultation program to provide the general public and Federal agencies
an opportunity to comment on proposed and/or continuing collections of
information before submitting them to the OMB for final approval. This
program helps to ensure 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 can be properly assessed.
The Office of Workers' Compensation Programs (OWCP) is the agency
responsible for administration of 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 reimburse beneficiaries for
travel expenses for covered medical treatment. In order to determine
whether amounts requested as travel expenses are appropriate, OWCP must
receive certain data elements, including the signature of the physician
for medical expenses claimed under the BLBA. Form OWCP-957 is the
standard format for the collection of these data elements. The
regulations implementing these three statutes allow
[[Page 35933]]
for the collection of information needed to enable OWCP to determine if
reimbursement requests for travel expenses should be paid. This
information collection is currently approved for use through June 30,
2021.
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 the 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 1240-0037.
Submitted comments will also be a matter of public record for this
ICR and posted on the internet, without redaction. The DOL encourages
commenters not to include personally identifiable information,
confidential business data, or other sensitive statements/information
in any comments.
The DOL is particularly interested in comments that:
<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 submission of responses.
Agency: DOL-OWCP.
Type of Review: Extension.
Title of Collection: Medical Travel Refund Request.
Form: Medical Travel Refund Request (OWCP-957).
OMB Control Number: 1240-0037.
Affected Public: Individuals or Households.
Estimated Number of Respondents: 37,132.
Frequency: On occasion.
Total Estimated Annual Responses: 356,875.
Estimated Average Time per Response: 15 minutes.
Estimated Total Annual Burden Hours: 53,351.
Total Estimated Annual Other Cost Burden: $1,776,158.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2023-11625 Filed 5-31-23; 8:45 am]
BILLING CODE 4510-CR-P
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