[Federal Register Volume 75, Number 151 (Friday, August 6, 2010)]
[Notices]
[Pages 47629-47630]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-19398]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Proposals, Submissions, 
and Approvals

August 2, 2010.

ACTION: Submission for OMB Review; Comment Request.

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    The Department of Labor (DOL) hereby announces the submission of 
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; 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 Linda Watts Thomas 
on 202-693-4223 (this is not a toll-free number)/and e-

[[Page 47630]]

mail mail to: [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 Workers' Compensation Programs (OWCP), 
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 applicable OMB Control 
Number (see below).
    The OMB is particularly interested in comments which:
    (1) 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;
    (2) 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;
    (3) Enhance the quality, utility, and clarity of the information to 
be collected; and
    (4) 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: Revision of a currently approved collection.
    Title of Collection: Medical Travel Refund Request.
    OMB Control Number: 1240-0037.
    Agency Form Number: CM-957.
    Affected Public: Individuals or Households.
    Cost to Federal Government: $971,231.
    Total Estimated Number of Respondents: 182,535.
    Total Estimated Number of Responses: 182,535.
    Total Burden Hours: 30,301.
    Total Hour Burden Cost (operating/maintaining): $85,791.
    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., and the Energy Employees 
Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 
U.S.C. 7384 et seq. All three of these statutes require that OWCP 
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 information, see related notice published in the 
Federal Register on February 18, 2010 (Vol. 75 page 7292).

    Dated: July 26, 2010.
Linda Watts Thomas,
Acting Departmental Clearance Officer.
[FR Doc. 2010-19398 Filed 8-5-10; 8:45 am]
BILLING CODE 4510-CR-P