60-day FRN (1240-0037) published

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Federal Register / Vol. 86, No. 25 / Tuesday, February 9, 2021 / Notices
number) or by email at suggs.anjanette@
dol.gov.
SUPPLEMENTARY INFORMATION: 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.
Form OWCP–1500 is used by OWCP
and contractor bill payment staff to
process bills for medical services
provided by medical professionals other
than medical services provided by
hospitals, pharmacies and certain other
medical providers. This information is
required to pay health care providers for
services rendered to injured employees
covered under the Office of Workers’
Compensation Programs—administered
programs. Appropriate payment cannot
be made without documentation of the
medical services that were provided by
the health care provider that is billing
OWCP. The information obtained to
complete claims under these programs
is used to identify the patient and
determine their eligibility. It is also used
to decide if the services and supplies
received are covered by these programs
and to assure that proper payment is
made. Energy Employees Occupational
Illness Compensation Program Act of
2000, 42 U.S.C., Black Lung Benefits
Act, 30 U.S.C. 901, and the Federal
Employees Compensation Act, 5 U.S.C.
8101 authorize this information
collection.
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

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Jkt 253001

summarized and included in the request
for OMB approval of the final ICR. In
order to help ensure appropriate
consideration, comments should
mention 1240–0044.
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.
The DOL is particularly interested in
comments that:
• Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
• Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
• Enhance the quality, utility, and
clarity of the information to be
collected; and
• Minimize the burden of the
collection of information 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.
Agency: DOL–OWCP.
Type of Review: Extension.
Title of Collection: Health Insurance
Claim Form.
Form: OWCP–1500.
OMB Control Number: 1240–0044.
Affected Public: Private Sector—
businesses or other for-profits.
Estimated Number of Respondents:
57,099.
Frequency: On occasion.
Total Estimated Annual Responses:
3,381,232.
Estimated Average Time per
Response: 7 minutes.
Estimated Total Annual Burden
Hours: 321,455 hours.
Total Estimated Annual Other Cost
Burden: $0.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021–02636 Filed 2–8–21; 8:45 am]
BILLING CODE 4510–CR–P

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8805

DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Medical
Travel Refund Request
Notice of availability; request
for comments.

ACTION:

The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Medical
Travel Refund Request.’’ This comment
request is part of continuing
Departmental efforts to reduce
paperwork and respondent burden in
accordance with the Paperwork
Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all
written comments received by April 12,
2021.
ADDRESSES: A copy of this ICR with
applicable supporting documentation;
including a description of the likely
respondents, proposed frequency of
response, and estimated total burden
may be obtained free by contacting
Anjanette Suggs by telephone at (202)
354–9660, or by email at
[email protected].
Submit written comments about, or
requests for a copy of, this ICR by mail
or courier to the U.S. Department of
Labor, Office of Workers’ Compensation
Programs, Room S–3323, 200
Constitution Avenue NW, Washington,
DC 20210; by email: suggs.anjanette@
dol.gov.
SUMMARY:

FOR FURTHER INFORMATION CONTACT:

Anjanette Suggs by telephone at (202)
354–9660 (this is not a toll-free number)
or by email at [email protected].
SUPPLEMENTARY INFORMATION: 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.
Form OWCP–957 is used to request
reimbursement for out-of-pocket
expenses incurred when traveling to
medical providers for covered medical

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khammond on DSKJM1Z7X2PROD with NOTICES

8806

Federal Register / Vol. 86, No. 25 / Tuesday, February 9, 2021 / Notices

testing or treatment. Black Lung Benefits
Act (BLBA), 30 U.S.C. 901, Employees
Occupational Illness Compensation
Program Act of 2000 (EEOICPA) 42
U.S.C. 7384, and the Federal Employees’
Compensation Act (FECA), 5 U.S.C.
8101 authorize this information
collection.
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.
The DOL is particularly interested in
comments that:
• Evaluate whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information will have
practical utility;
• Evaluate the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions used;
• Enhance the quality, utility, and
clarity of the information to be
collected; and
• Minimize the burden of the
collection of information 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.
Agency: DOL–OWCP.
Type of Review: Extension.

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Title of Collection: Medical Travel
Refund Request.
Form: OWCP–957.
OMB Control Number: 1240–0037.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
34,703.
Frequency: On occasion.
Total Estimated Annual Responses:
333,528.
Estimated Average Time per
Response: 10 minutes.
Estimated Total Annual Burden
Hours: 55,366 hours.
Total Estimated Annual Other Cost
Burden: $ 173,435.
(Authority: 44 U.S.C. 3506(c)(2)(A))
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021–02635 Filed 2–8–21; 8:45 am]
BILLING CODE 4510–CR–P

DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
[Docket No. WCPO–2020–0002]

Black Lung Benefits Act SelfInsurance: Withdrawal of Guidance
Office of Workers’
Compensation Programs, Labor.
ACTION: Withdrawal of notice and
request for comments.
AGENCY:

The Office of Workers’
Compensation Programs (OWCP) is
withdrawing a notice and request for
comments entitled ‘‘Guidance on Black
Lung Benefits Act Self-Insurance,’’
which was published in the Federal
Register on January 8, 2021.
DATES: The withdrawal is effective
February 9, 2021.
FOR FURTHER INFORMATION CONTACT:
Michael Chance, Director, Division of
Coal Mine Workers’ Compensation,
Office of Workers’ Compensation
Programs, U.S. Department of Labor,
200 Constitution Avenue NW, Room N–
3464, Washington, DC 20210.
Telephone: 1–800–347–2502. This is a
toll-free number. TTY/TDD callers may
dial toll-free 1–800–877–8339 for
further information.
SUPPLEMENTARY INFORMATION: On
January 8, 2021, OWCP published a
notice and request for comments
entitled ‘‘Guidance on Black Lung
Benefits Act Self-Insurance’’ in the
Federal Register. 86 FR 1529 (Jan. 8,
2021). The notice informed and invited
comment from the public on a
preliminary program bulletin related to
SUMMARY:

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coal-mine operators applying to selfinsure their liabilities under the Black
Lung Benefits Act. 30 U.S.C. 901–944.
The comment period under the notice
runs through February 8, 2021.
OWCP is now withdrawing the notice
and request for comments on the
preliminary self-insurance bulletin
because the legal bases for publishing
the notice—the Department of Labor’s
PRO Good Guidance Rule (29 CFR part
89) and Executive Order 13891 (84 FR
55235 (Oct. 15, 2019))—have been
rescinded or revoked. See 86 FR 7237
(Jan. 27, 2021) (rescinding 29 CFR part
89); E.O. 13992, 86 FR 7049 (Jan. 20,
2021) (revoking E.O. 13891).
OWCP’s action is also consistent with
the January 20, 2021 memorandum for
the Heads of Executive Departments and
Agencies from the Assistant to the
President and Chief of Staff entitled
‘‘Regulatory Freeze Pending Review.’’
86 FR 7424 (Jan. 28, 2021). The
memorandum directs agencies to pause
or delay certain regulatory actions,
including actions related to guidance
documents, for the purpose of reviewing
questions of fact, law, and policy raised
therein. OWCP intends to review the
self-insurance bulletin and offer the
public an opportunity to comment on
self-insurance procedures at a later time.
Accordingly, OWCP is withdrawing
the notice and request for comments
published on January 8, 2021. The
withdrawal of the guidance does not
change any law, regulation, or other
legally binding requirement.
Dated: February 3, 2021.
Christopher J. Godfrey,
Director, Office of Workers’ Compensation
Programs.
[FR Doc. 2021–02614 Filed 2–8–21; 8:45 am]
BILLING CODE 4510–CR–P

DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Claim
for Medical Reimbursement Form
Notice of availability; request
for comments.

ACTION:

The Department of Labor
(DOL) is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Claim
for Medical Reimbursement Form.’’ This
comment request is part of continuing
Departmental efforts to reduce
paperwork and respondent burden in

SUMMARY:

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