Notice2025-08104

Proposed Extension of Information Collection; Pharmacy Billing Requirement

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
May 9, 2025

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, the OWCP is soliciting comments on the information collection for Pharmacy Billing Requirement.

Full Text

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<title>Federal Register, Volume 90 Issue 89 (Friday, May 9, 2025)</title>
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[Federal Register Volume 90, Number 89 (Friday, May 9, 2025)]
[Notices]
[Pages 19731-19732]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-08104]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs

[OMB Control No. 1240-0050]


Proposed Extension of Information Collection; Pharmacy Billing 
Requirement

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, the OWCP is soliciting comments on the information 
collection for Pharmacy Billing Requirement.

DATES: All comments must be received on or before July 8, 2025.

ADDRESSES: You may submit comment as follows. Please note that late, 
untimely filed comments will not be considered.
    Electronic Submissions: Submit electronic comments in the following 
way:
    <bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>. 
Follow the instructions for submitting comments for WCPO-2025-0006. 
Comments submitted electronically, including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> will be posted to the docket, with no changes. 
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.
    Written/Paper Submissions: Submit written/paper submissions in the 
following way:
    <bullet> Mail/Hand Delivery: Mail or visit DOL-OWCP, Office of 
Workers'

[[Page 19732]]

Compensation Programs, U.S. Department of Labor, 200 Constitution 
Avenue NW, Room S3215, 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, at <a href="/cdn-cgi/l/email-protection#1360667474603d727d79727d7667677653777c7f3d747c65"><span class="__cf_email__" data-cfemail="b0c3c5d7d7c39ed1dedad1ded5c4c4d5f0d4dfdc9ed7dfc6">[email&#160;protected]</span></a> (email) or (202) 354-
9660 (voice).

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 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. 
These statutes require OWCP to pay for appropriate medical and 
vocational rehabilitation services provided to beneficiaries. In order 
for OWCP's billing contractor to pay providers of these services with 
its automated bill processing system, providers must ``enroll'' with 
one or more of the OWCP programs that administer the statutes by 
submitting certain profile information, including identifying 
information, tax I.D. information, and whether they possess specialty 
or sub-specialty training. Form OWCP-1168 is used to obtain this 
information from each provider. This information collection is 
currently approved for use through September 30, 2025. All three of 
these statutes require that OWCP pay for covered medical treatment 
provided to beneficiaries; this medical treatment can include medicinal 
drugs dispensed by pharmacies. In order to determine whether amounts 
billed for drugs are appropriate, OWCP must receive the required data 
elements, including the name of the patient/beneficiary, the National 
Drug Code (NDC) number of the drugs prescribed, the quantity provided, 
the prescription number and the date the prescription was filled. The 
regulations implementing these statutes require the collection of 
information needed to enable OWCP to determine if bills for drugs 
submitted directly by pharmacies, or reimbursement requests submitted 
by claimants, should be paid. There is no standardized paper form for 
submission of the billing information collected in this Information 
Collection Request (ICR). Over the past several years, almost all 
pharmacy bills submitted to OWCP have been submitted electronically 
using one of the industry-wide standard formats for the electronic 
transmission of billing data through nationwide data clearinghouses 
devised by the National Council for Prescription Drug Programs (NCPDP). 
None of the electronic billing formats have been designed by or 
provided by OWCP; they are billing formats commonly accepted by other 
Federal programs and in the private health insurance industry for 
drugs. Nonetheless, the three programs (FECA, BLBA and EEOICPA) provide 
instructions for the submission of necessary pharmacy bill data 
elements in provider manuals distributed or made available to all 
pharmacies enrolled in the programs.

II. Desired Focus of Comments

    OWCP is soliciting comments concerning the proposed information 
collection related to the Pharmacy Billing Requirements. OWCP is 
particularly interested in comments that:
    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;
    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;
    Suggest methods to enhance the quality, utility, and clarity of the 
information to be collected; and
    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.
    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 section of this notice.

III. Current Actions

    This information collection request concerns Pharmacy Billing 
Requirements. 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: 1240-0050.
    Affected Public: Private Sector.
    Number of Respondents: 874,414.
    Number of Responses: 874,414.
    Annual Burden Hours: 14,481.
    Annual Respondent or Recordkeeper Cost: $0.00.
    OWCP Forms: OWCP Form Pharmacy Billing Requirements.
    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. 2025-08104 Filed 5-8-25; 8:45 am]
BILLING CODE 4510-CR-P


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Indexed from Federal Register on May 9, 2025.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.