Notice2026-12053
Proposed Extension of Information Collection; Medical Travel Refund Request-Mileage (OWCP-957A), Medical Travel Refund Request-Expenses (OWCP-957B)
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 16, 2026
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 Office of Workers' Compensation Programs is soliciting comments on the information collection for the OWCP Medical Travel Refund Request--Mileage (OWCP-957A) and OWCP Medical Travel Request-- Expenses (OWCP-957B).
Full Text
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<title>Federal Register, Volume 91 Issue 115 (Tuesday, June 16, 2026)</title>
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[Federal Register Volume 91, Number 115 (Tuesday, June 16, 2026)]
[Notices]
[Pages 36157-36158]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-12053]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
[OMB Control No. 1240-0037]
Proposed Extension of Information Collection; Medical Travel
Refund Request--Mileage (OWCP-957A), Medical Travel Refund Request--
Expenses (OWCP-957B)
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 Office of Workers' Compensation Programs is soliciting
comments on the information collection for the OWCP Medical Travel
Refund Request--Mileage (OWCP-957A) and OWCP Medical Travel Request--
Expenses (OWCP-957B).
DATES: All comments must be received on or before August 17, 2026.
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 Rulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the instructions for submitting comments for WCPO-2026-0430.
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' Compensation Programs, U.S. Department of Labor, 200
Constitution Ave. NW, Room S-3524, 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#7a090f1d1d09541b14101b141f0e0e1f3a1e1516541d150c"><span class="__cf_email__" data-cfemail="d1a2a4b6b6a2ffb0bfbbb0bfb4a5a5b491b5bebdffb6bea7">[email protected]</span></a> @dol.gov (email);
(202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
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 for the collection
of information needed to enable OWCP to determine if reimbursement
requests for travel expenses should be paid.
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.
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection related to the Medical Travel Refund Request--Mileage (OWCP-
957A), Medical Travel Refund Request--Expenses (OWCP-957B)
[[Page 36158]]
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/DFEC'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.
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 Ave. NW, Room S-3524, 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 the Medical Travel
Refund Request--Mileage (OWCP-957A), Medical Travel Refund Request--
Expenses (OWCP-957B) 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 previously approved
collection.
Agency: Office of Workers' Compensation Programs, OWCP.
OMB Number: 1240-0037.
Affected Public: Individuals.
Number of Respondents: 564,388.
Frequency: On Occasion.
Number of Responses: 1,128,776.
Annual Burden Hours: 56,438.80.
Annual Respondent or Recordkeeper Cost: $1,896,343.68OWCP/DFEC
1240-0037: OWCP Medical Travel Refund Request--Expenses and Medical
Travel Refund Request--Mileage.
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. 2026-12053 Filed 6-15-26; 8:45 am]
BILLING CODE 4510-CR-P
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