Justification for 1240-0037

Justification for No material Nonsubtantive Change Request - 1240-0037.docx

Medical Travel Refund Request

Justification for 1240-0037

OMB: 1240-0037

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Justification

For

Nonsubstantive/No Material Change Request

1240-0037 ‘Medical Travel Refund Request’ (OWCP-957)


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, the Black Lung Benefits Act (BLBA), 30 U.S.C. 901 and the Energy Employees’ Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384. These statutes require OWCP to pay for appropriate medical and vocational rehabilitation services provided to beneficiaries.


OWCP is requesting changes to its billing form ‘Medical Travel Refund Request’ (OWCP-957). The numbers currently listed is 1-844-493-1966 (which is the same number of all 3 programs), leads to a FECA call center. DEEOIC requests that the billing assistance number 1-866-272-2682 replace the FECA number in that section. Additionally, DCMWC requests that the billing assistance number 1-800-638-7072 replace the FECA number in that section.

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