Medical Travel Refund Request

Forms and Documents

Document Name	Status
Form OWCP-957 Medical Travel Refund Request Form and Instruction	Modified
SupportStatementOMBNO 12400037 OWCP957 5 11 10 (2).doc Supporting Statement A	2010-05-12
DOL ESA-49 (EEOICPA)[1].rtf Supplementary Document	2010-05-04
DOL ESA-6 (BLBA)[1].rtf Supplementary Document	2010-05-04
DOL GOVT-1(FECA)[2].rtf Supplementary Document	2010-05-04

IC Document Collections

IC ID	Document Title	Status
38444	Medical Travel Refund Request Form and Instruction	Modified

ICR Details

OMB Control No: 1240-0037	ICR Reference No: 201004-1240-010
Status: Historical Active	Previous ICR Reference No: 201003-1240-037
Agency/Subagency: DOL/OWCP	Agency Tracking No:
Title: Medical Travel Refund Request
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/08/2010
	Date Received in OIRA: 08/09/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2013	36 Months From Approved	10/31/2010
Responses	182,535	0	163,236
Time Burden (Hours)	30,301	0	27,097
Cost Burden (Dollars)	85,791	0	68,559

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Abstract: This form is used to request reimbursement for out-of-pocket expenses incurred when traveling to medical providers for covered medical testing or treatment.

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Authorizing Statute(s): US Code: 42 USC 7384 Name of Law: Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA)
   US Code: 5 USC 8101 Name of Law: Federal Employees' Compensation Act (FECA)
   US Code: 30 USC 901 Name of Law: Black Lung Benefits Act (BLBA)
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 7292	02/18/2010
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 47629	08/06/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medical Travel Refund Request	OWCP-957	Medical Travel Refund Request

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	182,535	163,236	0	19,299	0	0
Annual Time Burden (Hours)	30,301	27,097	0	3,204	0	0
Annual Cost Burden (Dollars)	85,791	68,559	0	17,232	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The justification is due to more claimants claiming travel expenses for their medical appointments.

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Annual Cost to Federal Government: $971,231

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 08/09/2010

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