Notice2024-03438
Proposed Extension of Information Collection; Health Insurance Claim Form (OWCP-1500)
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 21, 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 Health Claim Insurance Form, OWCP-1500.
Full Text
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<title>Federal Register, Volume 89 Issue 35 (Wednesday, February 21, 2024)</title>
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[Federal Register Volume 89, Number 35 (Wednesday, February 21, 2024)]
[Notices]
[Pages 13106-13107]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-03438]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
[OMB Control No. 1240-0044]
Proposed Extension of Information Collection; Health Insurance
Claim Form (OWCP-1500)
AGENCY: Office of Workers' Compensation Programs, 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 Health Claim Insurance Form, OWCP-1500.
[[Page 13107]]
DATES: All comments must be received on or before April 22, 2024.
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 the DOL-OWCP, Office of
Workers' Compensation Programs, U.S. Department of Labor, 200
Constitution Avenue NW, Room S3524, Washington, DC 20210.
<bullet> OWCP will post your comments 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>.
<bullet> Because your comment will be made public, you are
responsible for ensuring that your comment does not include any
confidential information that you or a third party may not wish to be
posted, such as your or anyone else's Social Security number or
confidential business information.
<bullet> If your comment includes confidential information that you
do not wish to be made available to the public, submit the comment as a
written/paper submission.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers'
Compensation Programs, <a href="/cdn-cgi/l/email-protection#4437312323376a252a2e252a2130302104202b286a232b32"><span class="__cf_email__" data-cfemail="4b383e2c2c38652a25212a252e3f3f2e0b2f2427652c243d">[email protected]</span></a> (email); (202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
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--administered by the Division of Federal
Employees' Compensation Program; the Black Lung Benefits Act (BLBA), 30
U.S.C. 901--administered by the Division of Coal Miner Workers'
Compensation Program; and the Energy Employees Occupational Illness
Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 administered
by the Division of Energy Employees Occupational Illness Compensation
Programs. 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. In order to determine
whether billed amounts are appropriate, OWCP needs to identify the
patient, the injury or illness that was treated or diagnosed, the
specific services that were rendered and their relationship to the
work-related injury or illness. The regulations implementing these
statutes require the use of Form OWCP-1500 for medical bills submitted
by certain physicians and other providers (20 CFR 10.801, 20 CFR
725.704, 30.701, 725.405, 725.406(e), 725.701 and 725.715).
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection related to the Health Insurance Claim Form (OWCP-1500).
OWCP 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, Washington, DC 20210. Questions about the
information collection requirements may be directed to the person
listed in the FOR FURTHER INFORMATION section of this notice.
III. Current Actions
This information collection request concerns the Health Insurance
Claim Form, OWCP-1500. 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, without change, of a currently approved
collection.
Agency: Office of Workers' Compensation Programs.
OMB Number: 1240-0044.
Affected Public: Private Sector.
Number of Respondents: 57,099.
Frequency: On Occasion.
Number of Responses: 3,381,232.
Annual Burden Hours: 394,477.
Annual Respondent or Recordkeeper Cost: $0.
OWCP Form: OWCP Form OWCP-1500, Health Insurance Claim Form.
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. 2024-03438 Filed 2-20-24; 8:45 am]
BILLING CODE 4510-CR-P
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