[Federal Register Volume 85, Number 31 (Friday, February 14, 2020)]
[Notices]
[Pages 8609-8610]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-02961]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Provider Enrollment Form

ACTION: Notice of availability; request for comments.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) titled, ``Provider Enrollment Form,'' to the Office of 
Management and Budget (OMB) for review and approval for use in 
accordance with the Paperwork Reduction Act (PRA) of 1995. Public 
comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before March 16, 2020.

ADDRESSES: A copy of this ICR with applicable supporting documentation; 
including a description of the likely respondents, proposed frequency 
of response, and estimated total burden may be obtained free of charge 
from the RegInfo.gov website at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=202002-1240-001 (this link will only become active 
on the day following publication of this notice) or by contacting 
Frederick Licari by telephone at 202-693-8073, TTY 202-693-8064, (these 
are not toll-free numbers) or sending an email to 
[email protected].
    Submit comments about this request by mail to the Office of 
Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-
OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW, 
Washington, DC 20503; by Fax: 202-395-5806 (this is not a toll-free 
number); or by email: [email protected]. Commenters are 
encouraged, but not required, to send a courtesy copy of any comments 
by mail or courier to the U.S. Department of Labor-OASAM, Office of the 
Chief Information Officer, Attn: Departmental Information Compliance 
Management Program, Room N1301, 200 Constitution Avenue NW, Washington, 
DC 20210; or by email: [email protected].

FOR FURTHER INFORMATION CONTACT: Frederick Licari by telephone at 202-
693-8073, TTY 202-693-8064, (these are not toll-free numbers) or 
sending an email to [email protected].

SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Provider Enrollment

[[Page 8610]]

Form (Form OWCP-1168). The form 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. In addition to the 
enrollment form information collection, the OWCP bill processing 
contractor currently collects electronic data interchange (EDI) 
information from the provider only if the provider chooses a data 
exchange submission method. Once the new OWCP-1168 form is in place, 
the existing EDI template will no longer be applicable. The current EDI 
template collects information that is duplicative to information 
collected on Form OWCP-1168, such as names, addresses, and NPI. 
Collecting EDI information with the enrollment information in one form 
will improve efficiency in collecting the information from providers, 
reduce the time required for processing by operational staff, and will 
significantly reduce errors associated with mismatching provider 
enrollments to their EDI information. This information collection will 
be submitted to OMB under the emergency processing request procedures, 
as outlined by 5 CFR part 1320 Section 13, to allow for implementation 
of the revisions to the Provider Enrollment Form as soon as possible, 
and to incorporate regulatory updates implementing the Black Lung 
benefits Act which becomes applicable on April 26, 2020. Once OMB has 
approved the emergency processing request, a separate 60-day Federal 
Register Notice will be published to again solicit public comments.
    This information collection is subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless it is approved by the OMB under the PRA and displays 
a currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information that 
does not display a valid Control Number. See 5 CFR 1320.5(a) and 
1320.6.
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within thirty (30) days of publication of this 
notice in the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0021.
    The OMB is particularly interested in comments that:
     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: DOL-OWCP.
    Title of Collection: Provider Enrollment Form.
    OMB Control Number: 1240-0021.
    Affected Public: Private Sector, Business or other for-profits.
    Total Estimated Number of Respondents: 64,325.
    Total Estimated Number of Responses: 64,325.
    Total Estimated Annual Time Burden: 32,162.5 hours.
    Total Estimated Annual Other Costs Burden: $37,309.

    Authority: 44 U.S.C. 3507(a)(1)(D).

    Dated: February 7, 2020.
Frederick Licari,
Departmental Clearance Officer.
[FR Doc. 2020-02961 Filed 2-13-20; 8:45 am]
 BILLING CODE 4510-CR-P