[Federal Register: November 8, 2006 (Volume 71, Number 216)]
[Notices]
[Page 65545-65546]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr08no06-113]
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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: king.darrin@dol.gov.
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