30-day FRN (1240-0044) published

30-day FRN (1240-0044) published.pdf

Health Insurance Claim Form

30-day FRN (1240-0044) published

OMB: 1240-0044

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Federal Register / Vol. 86, No. 83 / Monday, May 3, 2021 / Notices

Enforcement, 1849 C Street NW, Room
4556–MIB, Washington, DC 20240, or by
email to [email protected]. Please
reference OMB Control Number 1029–
0035 in the subject line of your
comments.
FOR FURTHER INFORMATION CONTACT: To
request additional information about
this ICR, contact Mark Gehlhar by email
at [email protected], or by telephone
at 202–208–2716.
SUPPLEMENTARY INFORMATION: In
accordance with the Paperwork
Reduction Act of 1995 (44 U.S.C. 3501
et seq.) and 5 CFR 1320.8(d)(1), we
provide the general public and other
Federal agencies with an opportunity to
comment on new, proposed, revised,
and continuing collections of
information. This helps us assess the
impact of our information collection
requirements and minimize the public’s
reporting burden. It also helps the
public understand our information
collection requirements and provide the
requested data in the desired format.
We are soliciting comments on the
proposed ICR that is described below.
We are especially interested in public
comment addressing the following
issues: (1) Is the collection necessary to
the proper functions of the agency; (2)
will this information be processed and
used in a timely manner; (3) is the
estimate of burden accurate; (4) how
might the agency enhance the quality,
utility, and clarity of the information to
be collected; and (5) how might the
agency minimize the burden of this
collection on the respondents, including
through the use of information
technology.
Comments that you submit in
response to this notice are a matter of
public record. We will include or
summarize each comment in our request
to OMB to approve this ICR. Before
including your address, phone number,
email address, or other personal
identifying information in your
comment, you should be aware that
your entire comment—including your
personal identifying information—may
be made publicly available at any time.
While you can ask us in your comment
to withhold your personal identifying
information from public review, we
cannot guarantee that we will be able to
do so.
Abstract: Applicants for surface and
underground coal mining permits are
required to provide adequate
descriptions of the environmental
resources that may be affected by
proposed mining activities. The
information will be used by the
regulatory authority to determine if the
applicant can comply with

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environmental protection performance
standards.
Title of Collection: Surface and
Underground Mining Permit
Applications—Minimum Requirements
for Information on Environmental
Resources.
OMB Control Number: 1029–0035.
Form Number: None.
Type of Review: Extension of a
currently approved collection.
Respondents/Affected Public: State
governments and businesses.
Total Estimated Number of Annual
Respondents: 224.
Total Estimated Number of Annual
Responses: 1,975.
Estimated Completion Time per
Response: Varies from one hour to 415
hours, depending on activity.
Total Estimated Number of Annual
Burden Hours: 174,630.
Respondent’s Obligation: Required to
obtain or retain a benefit.
Frequency of Collection: One time.
Total Estimated Annual Nonhour
Burden Cost: $0.
An agency may not conduct or
sponsor and a person is not required to
respond to a collection of information
unless it displays a currently valid OMB
control number.
The authority for this action is the
Paperwork Reduction Act of 1995 (44
U.S.C. 3501 et seq.).
Mark J. Gehlhar,
Information Collection Clearance Officer,
Division of Regulatory Support.
[FR Doc. 2021–09107 Filed 4–30–21; 8:45 am]
BILLING CODE 4310–05–P

DEPARTMENT OF LABOR
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Health
Insurance Claim Form
Department of Labor.
Notice of availability; request
for comments.

AGENCY:
ACTION:

The Department of Labor
(DOL) is submitting this Office of the
Workers’ Compensation Programs
(OWCP)-sponsored information
collection request (ICR) to the Office of
Management and Budget (OMB) for
review and approval in accordance with
the Paperwork Reduction Act of 1995
(PRA). Public comments on the ICR are
invited.
DATES: The OMB will consider all
written comments that agency receives
on or before June 2, 2021.
ADDRESSES: Written comments and
recommendations for the proposed
SUMMARY:

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information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
Comments are invited on: (1) Whether
the collection of information is
necessary for the proper performance of
the functions of the Department,
including whether the information will
have practical utility; (2) if the
information will be processed and used
in a timely manner; (3) the accuracy of
the agency’s estimates of the burden and
cost of the collection of information,
including the validity of the
methodology and assumptions used; (4)
ways to enhance the quality, utility and
clarity of the information collection; and
(5) ways to minimize the burden of the
collection of information on those who
are to respond, including the use of
automated collection techniques or
other forms of information technology.
FOR FURTHER INFORMATION CONTACT:
Mara Blumenthal by telephone at 202–
693–8538, or by email at DOL_PRA_
[email protected].
SUPPLEMENTARY INFORMATION: 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. For additional substantive
information about this ICR, see the
related notice published in the Federal
Register on February 9, 2021 (86 FR
8804).
This information collection is subject
to the PRA. A Federal agency generally
cannot conduct or sponsor a collection

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Federal Register / Vol. 86, No. 83 / Monday, May 3, 2021 / Notices
of information, and the public is
generally not required to respond to an
information collection, unless the OMB
approves it 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 OMB Control Number.
See 5 CFR 1320.5(a) and 1320.6.
DOL seeks PRA authorization for this
information collection for three (3)
years. OMB authorization for an ICR
cannot be for more than three (3) years
without renewal. The DOL notes that
information collection requirements
submitted to the OMB for existing ICRs
receive a month-to-month extension
while they undergo review.
Agency: DOL–OWCP.
Title of Collection: Health Insurance
Claim Form.
OMB Control Number: 1240–0044.
Affected Public: Private Sector—
Businesses or other for-profits.
Total Estimated Number of
Respondents: 57,099.
Total Estimated Number of
Responses: 3,381,232.
Total Estimated Annual Time Burden:
394,477 hours.
Total Estimated Annual Other Costs
Burden: $0.
Authority: 44 U.S.C. 3507(a)(1)(D).
Dated: April 23, 2021.
Mara Blumenthal,
Senior PRA Analyst.
[FR Doc. 2021–09210 Filed 4–30–21; 8:45 am]
BILLING CODE 4510–CR–P

DEPARTMENT OF LABOR
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request;
Registration and Equal Employment
Opportunity in Apprenticeship
Programs
Notice of availability; request
for comments.

ACTION:

The Department of Labor
(DOL) is submitting this Employment
and Training Administration (ETA)sponsored information collection
request (ICR) to the Office of
Management and Budget (OMB) for
review and approval in accordance with
the Paperwork Reduction Act of 1995
(PRA). Public comments on the ICR are
invited.
DATES: The OMB will consider all
written comments that agency receives
on or before June 2, 2021.
ADDRESSES: Written comments and
recommendations for the proposed

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SUMMARY:

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information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
Comments are invited on: (1) Whether
the collection of information is
necessary for the proper performance of
the functions of the Department,
including whether the information will
have practical utility; (2) if the
information will be processed and used
in a timely manner; (3) the accuracy of
the agency’s estimates of the burden and
cost of the collection of information,
including the validity of the
methodology and assumptions used; (4)
ways to enhance the quality, utility and
clarity of the information collection; and
(5) ways to minimize the burden of the
collection of information on those who
are to respond, including the use of
automated collection techniques or
other forms of information technology.
FOR FURTHER INFORMATION CONTACT:
Mara Blumenthal by telephone at 202–
693–8538, or by email at DOL_PRA_
[email protected].
SUPPLEMENTARY INFORMATION: The
National Apprenticeship Act (NAA) of
1937 (29 U.S.C. 50) authorizes this
information collection. If approved, this
ICR will enable ETA to refine its data
collection concerning the registration of
apprenticeship programs and
apprentices with DOL/ETA’s Office of
Apprenticeship and recognized State
Apprenticeship Agencies, properly
assess the types of sponsors that are
seeking to register an apprenticeship
program and the level of growth in
apprenticeship, collect the data
necessary to calculate national
registered apprenticeship program and
apprentice totals, and implement the
requirements of the Veterans
Apprenticeship and Labor Opportunity
Reform (VALOR) Act (Pub. L. 115–89).
This ICR will also continue to enable
ETA to collect data from registered
apprenticeship programs relating to
equal employment opportunity, and
from applicants and/or apprentices,
who file a discrimination complaint.
Under the NAA, the Secretary of Labor
(Secretary) is charged with the
establishment of labor standards
designed to safeguard the welfare of
apprentices and promote apprenticeship
opportunity. The NAA also authorizes
the Secretary to ‘‘publish information
relating to existing and proposed labor
standards of apprenticeship.’’ For
additional substantive information
about this ICR, see the related notice

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23429

published in the Federal Register on
January 13, 2021 (86 FR 2700).
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 the OMB
approves it 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 OMB Control Number.
See 5 CFR 1320.5(a) and 1320.6.
DOL seeks PRA authorization for this
information collection for three (3)
years. OMB authorization for an ICR
cannot be for more than three (3) years
without renewal. The DOL notes that
information collection requirements
submitted to the OMB for existing ICRs
receive a month-to-month extension
while they undergo review.
Agency: DOL–ETA.
Title of Collection: Registration and
Equal Employment Opportunity in
Apprenticeship Programs.
OMB Control Number: 1205–0223.
Affected Public: Individuals or
Households; Federal Government; State,
Local, and Tribal Governments; Private
Sector—Businesses or other for-profits
and not-for-profit institutions.
Total Estimated Number of
Respondents: 651,093.
Total Estimated Number of
Responses: 980,606.
Total Estimated Annual Time Burden:
521,964 hours.
Total Estimated Annual Other Costs
Burden: $0.
Authority: 44 U.S.C. 3507(a)(1)(D).
Dated: April 23, 2021.
Mara Blumenthal,
Senior PRA Analyst.
[FR Doc. 2021–09208 Filed 4–30–21; 8:45 am]
BILLING CODE 4510–FR–P

DEPARTMENT OF LABOR
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Quarterly
Census of Employment and Wages
Business Supplement (QBS)
Department of Labor.
Notice of availability; request
for comments.

AGENCY:
ACTION:

The Department of Labor
(DOL) is submitting this Bureau of Labor
Statistics (BLS)-sponsored information
collection request (ICR) to the Office of
Management and Budget (OMB) for
review and approval in accordance with

SUMMARY:

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