[Federal Register Volume 88, Number 184 (Monday, September 25, 2023)]
[Notices]
[Page 65754]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-20624]


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DEPARTMENT OF LABOR


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Medical Travel Refund Request Form

ACTION: Notice of availability; request for comments.

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SUMMARY: The Department of Labor (DOL) is submitting this Office of 
Workers' Compensation Programs (OWCP)-sponsored 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 
(PRA). Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that the agency 
receives on or before October 25, 2023.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    Comments are invited on: (1) whether the collection of information 
is necessary for the proper performance of the functions of the 
Department, including whether the information will have practical 
utility; (2) if the information will be processed and used in a timely 
manner; (3) the accuracy of the agency's estimates of the burden and 
cost of the collection of information, including the validity of the 
methodology and assumptions used; (4) ways to enhance the quality, 
utility and clarity of the information collection; and (5) ways to 
minimize the burden of the collection of information on those who are 
to respond, including the use of automated collection techniques or 
other forms of information technology.

FOR FURTHER INFORMATION CONTACT: Michelle Neary by telephone at 202-
693-6312, or by email at [email protected].

SUPPLEMENTARY INFORMATION: OWCP must reimburse beneficiaries for travel 
expenses for covered medical treatment. In order to determine whether 
amounts requested as travel expenses are appropriate, OWCP must receive 
certain data elements, including the signature of the physician for 
medical expenses claimed under the BLBA. Form OWCP-957 is the standard 
format for the collection of these data elements. The regulations 
implementing these three statutes allow for the collection of 
information needed to enable OWCP to determine if reimbursement 
requests for travel expenses should be paid. For additional substantive 
information about this ICR, see the related notice published in the 
Federal Register on 06/01/2023 (88 FR 35932).
    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 the OMB approves it 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 
OMB Control Number. See 5 CFR 1320.5(a) and 1320.6.
    DOL seeks PRA authorization for this information collection for 
three (3) years. OMB authorization for an ICR cannot be for more than 
three (3) years without renewal. The DOL notes that information 
collection requirements submitted to the OMB for existing ICRs receive 
a month-to-month extension while they undergo review.
    Agency: DOL-OWCP.
    Title of Collection: Medical Travel Refund Request Form.
    OMB Control Number: 1240-0037.
    Affected Public: Individuals or households.
    Total Estimated Number of Respondents: 37,132.
    Total Estimated Number of Responses: 356,875.
    Total Estimated Annual Time Burden: 53,531 hours.
    Total Estimated Annual Other Costs Burden: $240,656.

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

Michelle Neary,
Senior PRA Analyst.
[FR Doc. 2023-20624 Filed 9-22-23; 8:45 am]
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