[Federal Register Volume 74, Number 220 (Tuesday, November 17, 2009)]
[Notices]
[Pages 59243-59244]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-27461]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

November 10, 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), Email: [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.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Representative Fee Request.
    OMB Control Number: 1215-0078.
    Agency Form Number: CA-143.
    Affected Public: Private Sector--Businesses and other for-profits.
    Total Estimated Number of Respondents: 8,404.
    Total Estimated Annual Burden Hours: 5,419.
    Total Estimated Annual Costs Burden: $12,806.
    Description: Individuals filing for compensation benefits with the 
Office of Workers' Compensation Programs (OWCP) may be represented by 
an attorney or other representative. The representative is entitled to 
request a fee for services under 20 CFR 10.700-703 (Federal Employees' 
Compensation Act) and 20 CFR 702.132 (Longshore and Harbor Workers' 
Compensation Act). The fee must be approved by the OWCP before any 
demand for payment can be made by the representative. Under the FECA, 
the representative is required to submit for review any fees resulting 
from representing the claimant in filing for benefits. The program does 
not make payment, but reviews the fee request to ensure that it is 
consistent with services provided, and with customary local charges for 
similar services. Fee requests

[[Page 59244]]

received have been used to approve attorney's fees, allowing the 
attorney to pursue payment of an appropriate amount from the claimant. 
If the fee requested is considered excessive, in view of the criteria 
outlined in the regulations, the fee approved would be reduced 
accordingly. For additional information, see related notice published 
at Volume 74 FR 46237 on September 8, 2009.

    Agency: Office of Workers' Compensation Programs.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Request for Employment Information.
    OMB Control Number: 1215-0105.
    Agency Form Number: CA-1027.
    Affected Public: Private Sector--Businesses and other for-profits.
    Total Estimated Number of Respondents: 500.
    Total Estimated Annual Burden Hours: 125.
    Total Estimated Annual Costs Burden: $235.
    Description: This information collection is used to collect 
information about a claimant's employment. It is necessary to determine 
continued eligibility for compensation payments under Federal 
Employees' Compensation Act. For additional information, see related 
notice published at Volume 74 FR 42124 on August 20, 2009.

    Agency: Office of Workers' Compensation Programs.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Claim for Medical Reimbursement Form.
    OMB Control Number: 1215-0193.
    Agency Form Number: OWCP-915.
    Affected Public: Individuals or households.
    Total Estimated Number of Respondents: 16,824.
    Total Estimated Annual Burden Hours: 11,171.
    Total Estimated Annual Costs Burden: $103,636.
    Description: Form OWCP-915 is used to claim reimbursement for out-
of-pocket covered medical expenses paid by a beneficiary, and must be 
accompanied by required billing data elements (prepared by the medical 
provider) and by proof of payment by the beneficiary. For additional 
information, see related notice published at Volume 74 FR 384744 on 
August 3, 2009.

    Agency: Office of Workers' Compensation Programs.
    Type of Review: Extension without change of a currently approved 
collection.
    Title of Collection: Pharmacy Billing Requirements.
    OMB Control Number: 1215-0194.
    Agency Form Number: N/A.
    Affected Public: Private Sector--Businesses and other for-profits.
    Total Estimated Number of Respondents: 28,150.
    Total Estimated Annual Burden Hours: 121,494.
    Total Estimated Annual Costs Burden: $0.
    Description: The National Council for Prescription Drug Programs 
Standardized Pharmacy Billing Data Requirements is the electronic 
billing format used by pharmacies throughout the country to request 
payment for prescription drugs through data clearinghouses. They 
identify the provider, claimant, prescribing physician, drug by 
National Drug Code number, prescription volume and charge. Similar data 
elements are required to process paper-based pharmacy bills. For 
additional information, see related notice published at Volume 74 FR 
37733 on July 29, 2009.

Darrin A. King,
Departmental Clearance Officer.
[FR Doc. E9-27461 Filed 11-16-09; 8:45 am]
BILLING CODE 9111-97-P