[Federal Register Volume 71, Number 204 (Monday, October 23, 2006)]
[Notices]
[Pages 62122-62123]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-17670]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

October 16, 2006.
    The Department of Labor (DOL) has submitted the following public 
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 (Pub. L. 104-13, 44 U.S.C. chapter 35). A copy of 
this ICR, with applicable supporting documentation, may be obtained 
from RegInfo.gov at http://www.reginfo.gov/public/do/PRAMain or by 
contacting Darrin King on 202-693-4129 (this is not a toll-free number) 
/ e-mail: [email protected].
    Comments should be sent to Office of Information and Regulatory 
Affairs, Attn: OMB Desk Officer for the Employment Standards 
Administration (ESA), Office of Management and Budget, Room 10235, 
Washington, DC 20503, telephone: 202-395-7316 / Fax: 202-395-6974 
(these are not toll-free numbers), within 30 days from the date of this 
publication in the Federal Register.
    The OMB is particularly interested in comments which:
     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: Employment Standards Administration.
    Type of Review: Extension without change of currently approved 
collection.
    Title: Uniform Billing Form (UB-92).
    OMB Number: 1215-0176.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Private Sector: Business and other for-profit and 
not-for-profit institutions.

[[Page 62123]]

    Estimated Number of Respondents: 7,593.
    Estimated Number of Annual Responses: 30,372.
    Estimated Average Response Time: 7 minutes.
    Estimated Total Annual Burden Hours: 3,544.
    Total Annualized Capital/Startup Costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $0.
    Description: The 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. All three of these statutes require that OWCP pay 
for medical treatment of beneficiaries; this medical treatment can 
include inpatient/outpatient hospital services, as well as services 
provided by nursing homes, skilled nursing facilities, and home health 
aides in the home. In order to determine whether billed amounts are 
appropriate, OWCP needs to identify the patient, the specific services 
that were rendered and their relationship to the work-related injury or 
illness. The regulations implementing these statutes require the use of 
Form OWCP-92 or UB-92 for the submission of medical bills from 
institutional providers (20 CFR 10.801, 30.701, 725.405, 725.406, 
725.701 and 725.704).
    The Uniform Bill, known as the paper UB-92, has been approved by 
the American Hospital Association, the Centers for Medicare and 
Medicaid Services, the Civilian Health and Medical Program of the 
Uniformed Services (CHAMPUS), by various other government health care 
programs, and by the private sector, to request payment to 
institutional providers of medical services. The paper UB-92 has been 
designed by the National Uniform Billing Committee and is neither a 
government-printed form nor distributed by OWCP; OWCP has, however, 
developed detailed instructions to ensure that it obtains the 
information it needs to consider requests for payment from 
institutional providers using this form. Form OWCP-92 or the paper UB-
92 is an ideal billing instrument for the provider community that 
services FECA, BLBA and EEOICPA beneficiaries because of its 
familiarity, its common use, and its acceptance by both government and 
private health service payers.

Ira L. Mills,
Departmental Clearance Officer.
 [FR Doc. E6-17670 Filed 10-20-06; 8:45 am]
BILLING CODE 4510-23-P