Notice2024-02745
Proposed Extension of Information Collection; Claim for Medical Reimbursement Form (OWCP-915)
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
February 12, 2024
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request 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, OWCP is soliciting comments on the information collection for Claim for Medical Reimbursement (OWCP-915).
Full Text
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<title>Federal Register, Volume 89 Issue 29 (Monday, February 12, 2024)</title>
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[Federal Register Volume 89, Number 29 (Monday, February 12, 2024)]
[Notices]
[Pages 9869-9870]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-02745]
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DEPARTMENT OF LABOR
Office of the Worker's Compensation Programs
[OMB Control No. 1240-0007]
Proposed Extension of Information Collection; Claim for Medical
Reimbursement Form (OWCP-915)
AGENCY: Office of Workers' Compensation (OWCP), Labor.
ACTION: Request for public comments.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a pre-clearance
request for comment to provide the general public and Federal agencies
with an opportunity to comment on proposed collections of information
in accordance with the Paperwork Reduction Act of 1995. This request
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, OWCP is soliciting comments on the information collection
for Claim for Medical Reimbursement (OWCP-915).
DATES: All comments must be received on or before April 12, 2024.
[[Page 9870]]
ADDRESSES: You may submit comment as follows. Please note that late,
untimely filed comments will not be considered.
Written/Paper Submissions: Submit written/paper submissions in the
following way:
<bullet> Mail/Hand Delivery: Mail or visit DOL-OWCP, Office of
Workers' Compensation Programs, U.S. Department of Labor, 200
Constitution Ave. NW, Room S-3215, Washington, DC 20210.
<bullet> OWCP will post your comment as well as any attachments,
except for information submitted and marked as confidential, in the
docket at <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers'
Compensation Programs, OWCP, at <a href="/cdn-cgi/l/email-protection#82f1f7e5e5f1ace3ece8e3ece7f6f6e7c2e6edeeace5edf4"><span class="__cf_email__" data-cfemail="b6c5c3d1d1c598d7d8dcd7d8d3c2c2d3f6d2d9da98d1d9c0">[email protected]</span></a> (email); (202)
354-9660.
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 statutes require OWCP to
pay for covered medical treatment that is provided to beneficiaries,
and to reimburse beneficiaries for any out-of-pocket covered medical
expenses they have paid. Form OWCP-915, Claim for Medical
Reimbursement, is used for this purpose and collects the necessary
beneficiary and medical provider data in a standard format.
Beneficiaries must also attach billing information prepared by the
medical provider (Form OWCP-1500 for professional medical services,
Form OWCP-04 for institutional providers and hospitals, or a paper bill
for medications dispensed in the physician's office. The hour and cost
burdens to collect the billing information from medical providers in
the required attachments to Form OWCP-915 are accounted for in OMB Nos.
1240-0019, 1240-0044, and 1240-0050. This is the same billing
information a medical provider reports when it bills OWCP directly.
Regulations implementing the FECA, BLBA and EEOICPA programs require
the collection of information that is needed to determine if
reimbursement claims submitted by beneficiaries can be paid.
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection (ICR) titled, ``Claim for Medical Reimbursement'' (OWCP-
915). OWCP/DFELHWC is particularly interested in comments that:
<bullet> Evaluate whether the collection of information is
necessary for the proper performance of the functions of the Agency,
including whether the information has practical utility;
<bullet> Evaluate the accuracy of OWCP's estimate of the burden
related to the information collection, including the validity of the
methodology and assumptions used in the estimate;
<bullet> Suggest methods to enhance the quality, utility, and
clarity of the information to be collected; and
<bullet> Minimize the burden of the information collection 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.
Background documents related to this information collection request
are available at <a href="https://regulations.gov">https://regulations.gov</a> and at DOL-OWCP located at 200
Constitution Avenue NW, Room S-3215, Washington, DC 20210. Questions
about the information collection requirements may be directed to the
person listed in the FOR FURTHER INFORMATION CONTACT section of this
notice.
III. Current Actions
This information collection request concerns Claim for
Reimbursement OWCP-915. OWCP has updated the data with respect to the
number of respondents, responses, burden hours, and burden costs
supporting this information collection request from the previous
information collection request.
Type of Review: Extension, with change, of a currently approved
collection.
Agency: Office of Workers' Compensation Programs, OWCP.
OMB Number: 1240-0007.
Affected Public: Individuals or households.
Number of Respondents: 18,023.
Frequency: Annually.
Number of Responses: 7.
Annual Burden Hours: 4 hours.
OWCP-915, Claim for Reimbursement
Comments submitted in response to this notice will be summarized in
the request for Office of Management and Budget approval of the
proposed information collection request; they will become a matter of
public record and will be available at <a href="https://www.reginfo.gov">https://www.reginfo.gov</a>.
Anjanette Suggs,
Certifying Officer.
[FR Doc. 2024-02745 Filed 2-9-24; 8:45 am]
BILLING CODE 4510-CR-P
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