[Federal Register Volume 74, Number 191 (Monday, October 5, 2009)]
[Notices]
[Page 51173]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-23944]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

September 30, 2009.
    The Department of Labor (DOL) hereby announces the submission of 
the following public information collection requests (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 each ICR, with applicable supporting 
documentation; including among other things a description of the likely 
respondents, proposed frequency of response, and estimated total burden 
may be obtained from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAMain or by contacting Mary Beth Smith-
Toomey on 202-693-4223 (this is not a toll-free number)/e-mail: [email protected].
    Interested parties are encouraged to send comments to the Office of 
Information and Regulatory Affairs, Attn: OMB Desk Officer for the 
Department of Labor, Office of Management and Budget, Room 10235, 
Washington, DC 20503, Telephone: 202-395-7316/Fax: 202-395-5806 (these 
are not toll-free numbers), E-mail: [email protected] within 
30 days from the date of this publication in the Federal Register. In 
order to ensure the appropriate consideration, comments should 
reference the OMB Control Number (see below).
    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: Office of Workers' Compensation Programs (OWCP).
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Provider Enrollment Form.
    OMB Control Number: 1215-0137.
    Agency Form Numbers: OWCP-1168.
    Affected Public: Private Sector--Businesses and other for-profits.
    Total Estimated Number of Respondents: 70,185.
    Total Estimated Annual Burden Hours: 9,335.
    Total Estimated Annual Costs Burden (does not include hourly wage 
costs): $32,987.
    Description: The Form OWCP-1168 requests profile information on 
providers that enroll in one (or more) of OWCP's benefit programs so 
its billing contractor can pay them for services rendered to 
beneficiaries using its automated bill processing system. For 
additional information, see related notice published at Volume 74 FR 
29721 on June 23, 2009.

    Agency: Office of Workers' Compensation Programs (OWCP).
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Uniform Billing Form.
    OMB Control Number: 1215-0176.
    Agency Form Number: OWCP-04.
    Affected Public: Private Sector--Businesses and other for-profits, 
Not-for-profit institutions.
    Total Estimated Number of Respondents: 5,481.
    Total Estimated Annual Burden Hours: 2,558.
    Total Estimated Annual Costs Burden (does not include hourly wage 
costs): $0.
    Description: Form OWCP-04 is used by OWCP and contractor bill 
payment staff to process bills for medical services provided by 
hospitals and other institutional medical providers. For additional 
information, see related notice published at Volume 74 FR 29721 on June 
23, 2009.

Darrin A. King,
Departmental Clearance Officer.
[FR Doc. E9-23944 Filed 10-2-09; 8:45 am]
BILLING CODE 4510-27-P