[Federal Register Volume 71, Number 216 (Wednesday, November 8, 2006)]
[Notices]
[Pages 65545-65546]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-18780]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

November 2, 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 a 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: Provider Enrollment Form.
    OMB Number: 1215-0137.
    Frequency: On occasion.
    Type of Response: Reporting.
    Affected Public: Private sector: Business and other for-profit.
    Estimated Number of Respondents: 48,242.
    Estimated Number of Annual Responses: 48,242.
    Estimated Average Response Time: 8 minutes.
    Estimated Total Annual Burden Hours: 6,417.
    Total Annualized capital/startup costs: $0.
    Total Annual Costs (operating/maintaining systems or purchasing 
services): $17,736.
    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., the Energy Employees Occupational 
Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384 et 
seq., and the Longshore and Harbor Workers' Compensation Act (LHWCA), 
33 U.S.C. 901 et seq. These statutes require OWCP to pay for medical 
and vocational rehabilitation services provided to beneficiaries. In 
order for OWCP's billing contractor to pay providers of these services 
with its automated bill processing system, providers must ``enroll'' 
with one or more of the OWCP programs that administer the statutes by

[[Page 65546]]

submitting certain profile information, including identifying 
information, tax I.D. information, and whether they possess specialty 
or sub-specialty training. Form OWCP 1168 is used to obtain this 
information from each provider.
    The information provided is used by all four programs to identify 
the providers of medical and vocational rehabilitation services, and to 
direct payments to these providers accurately and in a timely manner. 
The information obtained also provides data for the contractor to carry 
out a wide range of automated bill ``edits'', such as the 
identification of duplicate billings, the application of pertinent fee 
schedules, utilization review, and fraud and abuse detection. The 
profile information is also used to furnish detailed reports to 
providers on the status of previously submitted bills.

Darrin A. King,
Acting Departmental Clearance Officer.
[FR Doc. E6-18780 Filed 11-7-06; 8:45 am]
BILLING CODE 4510-CN-P