Justification for No Material/Nonsubstantive Change (CM-905)

Justification - Request for State or Federal Workers Compensation Information (CM-905).docx

Request for State or Federal Workers' Compensation Information

Justification for No Material/Nonsubstantive Change (CM-905)

OMB: 1240-0032

Document [docx]
Download: docx | pdf

Justification for No material/Nonsubstantive Change

Request for State or Federal Workers’ Compensation Information (CM-905)

The Department of Labor’s 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. OWCP is requesting an address change to OWCP form ‘Request for State or Federal Workers’ Compensation Information’ (CM-905) as the OWCP medical bill processor has procured a new mail room and requires a means to receive this form from State and Federal workers’ compensation programs informing them if a coal miner is receiving duplicate workers’ compensation for a lung condition.

Approval of this request is needed by October 1, 2020 for posting of the form on the medical bill processors web portal. This will allow ample time for the bill processor’s assumption of operations on October 1, 2020.  Any approval date beyond October 1, 2020 would necessitate a delay in operations until the request is approved.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSuggs, Anjanette C - OWCP
File Modified0000-00-00
File Created2021-01-13

© 2024 OMB.report | Privacy Policy