80_FR_10758 80 FR 10719 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Coverage of Certain Preventive Services Under the Affordable Care Act

80 FR 10719 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Coverage of Certain Preventive Services Under the Affordable Care Act

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 80, Issue 39 (February 27, 2015)

Page Range10719-10720
FR Document2015-04095

The Department of Labor (DOL) is submitting the Employee Benefits Security Administration (EBSA) sponsored information collection request (ICR) titled, ``Coverage of Certain Preventive Services Under the Affordable Care Act,'' to the Office of Management and Budget (OMB) for review and approval for continued use, without change, in accordance with the Paperwork Reduction Act of 1995 (PRA), 44 U.S.C. 3501 et seq. Public comments on the ICR are invited.

Federal Register, Volume 80 Issue 39 (Friday, February 27, 2015) 
[Federal Register Volume 80, Number 39 (Friday, February 27, 2015)]
[Notices]
[Pages 10719-10720]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-04095]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Coverage of Certain Preventive Services Under 
the Affordable Care Act

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Employee 
Benefits Security Administration (EBSA) sponsored information 
collection request (ICR) titled, ``Coverage of Certain Preventive 
Services Under the Affordable Care Act,'' to the Office of Management 
and Budget (OMB) for review and approval for continued use, without 
change, in accordance with the Paperwork Reduction Act of 1995 (PRA), 
44 U.S.C. 3501 et seq. Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before March 30, 2015.

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 Web site at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201412-1210-002 (this link will only become active 
on the day following publication of this notice) or by contacting 
Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are 
not toll-free numbers) or by email at [email protected].
    Submit comments about this request by mail or courier to the Office 
of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-
EBSA, 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.

[[Page 10720]]

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: Contact Michel Smyth by telephone at 
202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or by 
email at [email protected].

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

SUPPLEMENTARY INFORMATION: This ICR seeks to extend PRA authority for 
the ``Coverage of Certain Preventive Services Under the Affordable Care 
Act'' information collection. The information collection requires any 
plan established or maintained by certain religious employers (and 
group health insurance coverage provided in connection with such a 
plan) claiming exemption to providing contraceptive service to self-
certify that it meets the definition of an eligible organization. The 
eligible organization provides its health insurance issuer or third-
party administrator with a copy of the self-certification. A third-
party administrator arranging or providing payments for contraceptive 
services at no cost to participants and beneficiaries in insured or 
self-insured plans (or student enrollees and covered dependents in 
student health insurance coverage) of an eligible organization is to 
provide a written notice to plan participants and beneficiaries (or 
such student enrollees and covered dependents) informing them of the 
availability of such payments. The notice must be provided 
contemporaneous with (to the extent possible) but separate from plan 
enrollment (or re-enrollment) materials, and must specify that 
contraceptive coverage will not be provided by the eligible 
organization but that the third-party administrator will separately 
arrange or provide payments for contraceptive services. The notice must 
also provide contact information for the third-party administrator for 
questions and complaints. To satisfy the notice requirement, a third-
party administrator may use the model language set forth in the final 
regulations or substantially similar language. Form EBSA-700, Eligible 
Organization Self-Certification, may be used to make the certification 
to the insurer. Interim final regulations issued in 2014 provide for an 
alternative notification to the Federal government when an eligible 
organization has a religious objection to providing contraceptive 
coverage that still preserves participants' and beneficiaries' access 
to coverage for the full range of Food and Drug Administration approved 
contraceptives, as prescribed by a health care provider, without cost 
sharing. Employee Retirement Income Security Act of 1974 section 307 
authorizes this collection. See 29 U.S.C. 1185b.
    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. The DOL obtains OMB approval for this information collection 
under Control Number 1210-0150.
    OMB authorization for an ICR cannot be for more than three (3) 
years without renewal, and the current approval for this collection is 
scheduled to expire on February 28, 2015. The DOL seeks to extend PRA 
authorization for this information collection for three (3) more years, 
without any change to existing requirements. The DOL notes that 
existing information collection requirements submitted to the OMB 
receive a month-to-month extension while they undergo review. For 
additional substantive information about this ICR, see the related 
notice published in the Federal Register on December 11, 2014 (79 FR 
73629).
    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 1210-0150. 
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-EBSA.
    Title of Collection: Coverage of Certain Preventive Services Under 
the Affordable Care Act.
    OMB Control Number: 1210-0150.
    Affected Public: Private Sector--businesses or other for-profits 
and not-for-profit institutions.
    Total Estimated Number of Respondents: 61.
    Total Estimated Number of Responses: 61.
    Total Estimated Annual Time Burden: 51 hours.
    Total Estimated Annual Other Costs Burden: $33.

    Dated: February 23, 2015.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2015-04095 Filed 2-26-15; 8:45 am]
BILLING CODE 4510-29-P

Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices 10719 ADDRESSES: A copy of this ICR with law, no person shall generally be subject Total Estimated Annual Time Burden: applicable supporting documentation; to penalty for failing to comply with a 1,802 hours. including a description of the likely collection of information that does not Total Estimated Annual Other Costs respondents, proposed frequency of display a valid Control Number. See 5 Burden: $0. response, and estimated total burden CFR 1320.5(a) and 1320.6. The DOL Dated: February 23, 2015. may be obtained free of charge from the obtains OMB approval for this Michel Smyth, RegInfo.gov Web site at http:// information collection under Control Departmental Clearance Officer. www.reginfo.gov/public/do/ Number 1205–0178. [FR Doc. 2015–04093 Filed 2–26–15; 8:45 am] PRAViewICR?ref_nbr=201502-1205-002 OMB authorization for an ICR cannot BILLING CODE 4510–FW–P (this link will only become active on the be for more than three (3) years without day following publication of this notice) renewal, and the current approval for or by contacting Michel Smyth by this collection is scheduled to expire on DEPARTMENT OF LABOR telephone at 202–693–4129, TTY 202– February 28, 2015. The DOL seeks to 693–8064, (these are not toll-free extend PRA authorization for this Office of the Secretary numbers) or by email at DOL_PRA_ information collection for three (3) more PUBLIC@dol.gov. years, without any change to existing Agency Information Collection Submit comments about this request requirements. The DOL notes that Activities; Submission for OMB by mail or courier to the Office of existing information collection Review; Comment Request; Coverage Information and Regulatory Affairs, requirements submitted to the OMB of Certain Preventive Services Under Attn: OMB Desk Officer for DOL–ETA, receive a month-to-month extension the Affordable Care Act Office of Management and Budget, while they undergo review. For Room 10235, 725 17th Street NW., additional substantive information ACTION: Notice. Washington, DC 20503; by Fax: 202– about this ICR, see the related notice SUMMARY: The Department of Labor 395–5806 (this is not a toll-free published in the Federal Register on (DOL) is submitting the Employee number); or by email: OIRA_ July 1, 2014 (79 FR 37353). Benefits Security Administration submission@omb.eop.gov. Commenters Interested parties are encouraged to (EBSA) sponsored information are encouraged, but not required, to send comments to the OMB, Office of collection request (ICR) titled, send a courtesy copy of any comments Information and Regulatory Affairs at ‘‘Coverage of Certain Preventive by mail or courier to the U.S. the address shown in the ADDRESSES Services Under the Affordable Care Department of Labor-OASAM, Office of section within thirty (30) days of Act,’’ to the Office of Management and the Chief Information Officer, Attn: publication of this notice in the Federal Budget (OMB) for review and approval Departmental Information Compliance Register. In order to help ensure for continued use, without change, in Management Program, Room N1301, appropriate consideration, comments accordance with the Paperwork 200 Constitution Avenue NW., should mention OMB Control Number Reduction Act of 1995 (PRA), 44 U.S.C. Washington, DC 20210; or by email: 1205–0178. The OMB is particularly 3501 et seq. Public comments on the DOL_PRA_PUBLIC@dol.gov. interested in comments that: ICR are invited. FOR FURTHER INFORMATION CONTACT: • Evaluate whether the proposed DATES: The OMB will consider all Michel Smyth by telephone at 202–693– collection of information is necessary written comments that agency receives 4129, TTY 202–693–8064, (these are not for the proper performance of the on or before March 30, 2015. toll-free numbers) or by email at DOL_ functions of the agency, including ADDRESSES: A copy of this ICR with PRA_PUBLIC@dol.gov. whether the information will have applicable supporting documentation; Authority: 44 U.S.C. 3507(a)(1)(D). practical utility; • Evaluate the accuracy of the including a description of the likely SUPPLEMENTARY INFORMATION: This ICR agency’s estimate of the burden of the respondents, proposed frequency of seeks to extend PRA authority for the proposed collection of information, response, and estimated total burden Contribution Operations information including the validity of the may be obtained free of charge from the collection. In support of Unemployment methodology and assumptions used; RegInfo.gov Web site at http:// Insurance statutory and regulatory • Enhance the quality, utility, and www.reginfo.gov/public/do/ requirements, ETA 581 provides clarity of the information to be PRAViewICR?ref_nbr=201412-1210-002 quarterly data on State agencies’ volume collected; and (this link will only become active on the and performance in wage processing, • Minimize the burden of the day following publication of this notice) promptness of liable employer collection of information on those who or by contacting Michel Smyth by registration, timeliness of filing are to respond, including through the telephone at 202–693–4129, TTY 202– contribution and wage reports, extent of use of appropriate automated, 693–8064, (these are not toll-free tax delinquency, and results of the field electronic, mechanical, or other numbers) or by email at DOL_PRA_ audit program. Social Security Act technological collection techniques or PUBLIC@dol.gov. section 303(a)(6) authorizes this other forms of information technology, Submit comments about this request information collection. See 42 U.S.C. e.g., permitting electronic submission of by mail or courier to the Office of 503(a)(6). responses. Information and Regulatory Affairs, This information collection is subject Agency: DOL–ETA. Attn: OMB Desk Officer for DOL–EBSA, to the PRA. A Federal agency generally Title of Collection: Contribution Office of Management and Budget, mstockstill on DSK4VPTVN1PROD with NOTICES cannot conduct or sponsor a collection Operations. Room 10235, 725 17th Street NW., of information, and the public is OMB Control Number: 1205–0178. Washington, DC 20503; by Fax: 202– generally not required to respond to an Affected Public: State, Local, and 395–5806 (this is not a toll-free information collection, unless it is Tribal Governments. number); or by email: OIRA_ approved by the OMB under the PRA Total Estimated Number of submission@omb.eop.gov. Commenters and displays a currently valid OMB Respondents: 53. are encouraged, but not required, to Control Number. In addition, Total Estimated Number of send a courtesy copy of any comments notwithstanding any other provisions of Responses: 212. by mail or courier to the U.S. VerDate Sep<11>2014 18:05 Feb 26, 2015 Jkt 235001 PO 00000 Frm 00060 Fmt 4703 Sfmt 4703 E:\FR\FM\27FEN1.SGM 27FEN1

10720 Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices Department of Labor-OASAM, Office of full range of Food and Drug are to respond, including through the the Chief Information Officer, Attn: Administration approved use of appropriate automated, Departmental Information Compliance contraceptives, as prescribed by a health electronic, mechanical, or other Management Program, Room N1301, care provider, without cost sharing. technological collection techniques or 200 Constitution Avenue NW., Employee Retirement Income Security other forms of information technology, Washington, DC 20210; or by email: Act of 1974 section 307 authorizes this e.g., permitting electronic submission of DOL_PRA_PUBLIC@dol.gov. collection. See 29 U.S.C. 1185b. responses. FOR FURTHER INFORMATION CONTACT: This information collection is subject Agency: DOL–EBSA. Contact Michel Smyth by telephone at to the PRA. A Federal agency generally Title of Collection: Coverage of 202–693–4129, TTY 202–693–8064, cannot conduct or sponsor a collection Certain Preventive Services Under the (these are not toll-free numbers) or by of information, and the public is Affordable Care Act. email at DOL_PRA_PUBLIC@dol.gov. generally not required to respond to an OMB Control Number: 1210–0150. information collection, unless it is Affected Public: Private Sector— Authority: 44 U.S.C. 3507(a)(1)(D). businesses or other for-profits and not- approved by the OMB under the PRA SUPPLEMENTARY INFORMATION: This ICR and displays a currently valid OMB for-profit institutions. seeks to extend PRA authority for the Control Number. In addition, Total Estimated Number of ‘‘Coverage of Certain Preventive notwithstanding any other provisions of Respondents: 61. Services Under the Affordable Care Act’’ law, no person shall generally be subject Total Estimated Number of information collection. The information to penalty for failing to comply with a Responses: 61. collection requires any plan established collection of information that does not Total Estimated Annual Time Burden: or maintained by certain religious display a valid Control Number. See 5 51 hours. employers (and group health insurance CFR 1320.5(a) and 1320.6. The DOL Total Estimated Annual Other Costs coverage provided in connection with obtains OMB approval for this Burden: $33. such a plan) claiming exemption to information collection under Control Dated: February 23, 2015. providing contraceptive service to self- Number 1210–0150. Michel Smyth, certify that it meets the definition of an OMB authorization for an ICR cannot eligible organization. The eligible Departmental Clearance Officer. be for more than three (3) years without [FR Doc. 2015–04095 Filed 2–26–15; 8:45 am] organization provides its health renewal, and the current approval for insurance issuer or third-party this collection is scheduled to expire on BILLING CODE 4510–29–P administrator with a copy of the self- February 28, 2015. The DOL seeks to certification. A third-party administrator extend PRA authorization for this arranging or providing payments for DEPARTMENT OF LABOR information collection for three (3) more contraceptive services at no cost to years, without any change to existing Office of the Secretary participants and beneficiaries in insured requirements. The DOL notes that or self-insured plans (or student existing information collection Agency Information Collection enrollees and covered dependents in requirements submitted to the OMB Activities; Submission for OMB student health insurance coverage) of an receive a month-to-month extension Review; Comment Request; Notice of eligible organization is to provide a while they undergo review. For Final Payment or Suspension of written notice to plan participants and additional substantive information Compensation Benefits beneficiaries (or such student enrollees about this ICR, see the related notice and covered dependents) informing published in the Federal Register on ACTION: Notice. them of the availability of such December 11, 2014 (79 FR 73629). payments. The notice must be provided SUMMARY: The Department of Labor Interested parties are encouraged to (DOL) is submitting the Office of contemporaneous with (to the extent send comments to the OMB, Office of possible) but separate from plan Workers’ Compensation Programs Information and Regulatory Affairs at (OWCP) sponsored information enrollment (or re-enrollment) materials, the address shown in the ADDRESSES and must specify that contraceptive collection request (ICR) revision titled, section within thirty (30) days of ‘‘Notice of Final Payment or Suspension coverage will not be provided by the publication of this notice in the Federal eligible organization but that the third- of Compensation Benefits,’’ to the Office Register. In order to help ensure of Management and Budget (OMB) for party administrator will separately appropriate consideration, comments arrange or provide payments for review and approval for use in should mention OMB Control Number accordance with the Paperwork contraceptive services. The notice must 1210–0150. The OMB is particularly also provide contact information for the Reduction Act (PRA) of 1995 (44 U.S.C. interested in comments that: 3501 et seq.). Public comments on the third-party administrator for questions • Evaluate whether the proposed and complaints. To satisfy the notice ICR are invited. collection of information is necessary requirement, a third-party administrator for the proper performance of the DATES: The OMB will consider all may use the model language set forth in functions of the agency, including written comments that agency receives the final regulations or substantially whether the information will have on or before March 30, 2015. similar language. Form EBSA–700, practical utility; ADDRESSES: A copy of this ICR with Eligible Organization Self-Certification, • Evaluate the accuracy of the applicable supporting documentation; may be used to make the certification to agency’s estimate of the burden of the including a description of the likely mstockstill on DSK4VPTVN1PROD with NOTICES the insurer. Interim final regulations proposed collection of information, respondents, proposed frequency of issued in 2014 provide for an alternative including the validity of the response, and estimated total burden notification to the Federal government methodology and assumptions used; may be obtained free of charge from the when an eligible organization has a • Enhance the quality, utility, and RegInfo.gov Web site at http:// religious objection to providing clarity of the information to be www.reginfo.gov/public/do/ contraceptive coverage that still collected; and PRAViewICR?ref_nbr=201411-1240-003 preserves participants’ and • Minimize the burden of the (this link will only become active on the beneficiaries’ access to coverage for the collection of information on those who day following publication of this notice) VerDate Sep<11>2014 18:05 Feb 26, 2015 Jkt 235001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\27FEN1.SGM 27FEN1


Document Created: 2015-12-18 13:14:41
Document Modified: 2015-12-18 13:14:41
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThe OMB will consider all written comments that agency receives on or before March 30, 2015.
ContactContact Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or by email at [email protected]
FR Citation80 FR 10719 
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