80_FR_10759 80 FR 10720 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice of Final Payment or Suspension of Compensation Benefits

80 FR 10720 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice of Final Payment or Suspension of Compensation Benefits

DEPARTMENT OF LABOR
Office of the Secretary

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

Page Range10720-10721
FR Document2015-04078

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ``Notice of Final Payment or Suspension of Compensation Benefits,'' to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995 (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 10720-10721]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-04078]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Notice of Final Payment or Suspension of 
Compensation Benefits

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Notice of Final Payment or Suspension 
of Compensation Benefits,'' to the Office of Management and Budget 
(OMB) for review and approval for use in accordance with the Paperwork 
Reduction Act (PRA) of 1995 (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=201411-1240-003 (this link will only become active 
on the day following publication of this notice)

[[Page 10721]]

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

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


SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Notice of Final Payment or Suspension of Compensation 
Benefits information collection. The Notice of Final Payment or 
Suspension of Compensation Benefits, Form LS-208, is used by insurance 
carriers and self-insured employers to report the payment of benefits 
under the Longshore and Harbors Workers Compensation Act. This 
information collection has been classified as a revision, because the 
Department has made cosmetic changes to the Form LS-208, such as 
expanding the size and types of boxes used for responding. These 
changes are not expected to change the public burden. Longshore and 
Harbor Workers' Compensation Act section 914(g) authorizes this 
collection. See 33 U.S.C. 914(g).
    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 1240-0041. The current approval is scheduled to 
expire on February 28, 2015; however, the DOL notes that existing 
information collection requirements submitted to the OMB receive a 
month-to-month extension while they undergo review. New requirements 
would only take effect upon OMB approval. For additional substantive 
information about this ICR, see the related notice published in the 
Federal Register on December 1, 2014 (79 FR 71130).
    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 1240-0041. 
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: Notice of Final Payment or Suspension of 
Compensation Benefits.
    OMB Control Number: 1240-0041.
    Affected Public: Private Sector--Businesses or other for-profits.
    Total Estimated Number of Respondents: 600.
    Total Estimated Number of Responses: 21,000.
    Total Estimated Annual Time Burden: 5,250 hours.
    Total Estimated Annual Other Costs Burden: $10,920.

    Dated: February 23, 2015.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2015-04078 Filed 2-26-15; 8:45 am]
BILLING CODE 4510-CF-P

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

Federal Register / Vol. 80, No. 39 / Friday, February 27, 2015 / Notices 10721 or by contacting Michel Smyth by law, no person shall generally be subject Total Estimated Number of telephone at 202–693–4129, TTY 202– to penalty for failing to comply with a Responses: 21,000. 693–8064, (these are not toll-free collection of information that does not Total Estimated Annual Time Burden: numbers) or sending an email to DOL_ display a valid Control Number. See 5 5,250 hours. PRA_PUBLIC@dol.gov. CFR 1320.5(a) and 1320.6. The DOL Total Estimated Annual Other Costs Submit comments about this request obtains OMB approval for this Burden: $10,920. by mail or courier to the Office of information collection under Control Dated: February 23, 2015. Information and Regulatory Affairs, Number 1240–0041. The current Michel Smyth, Attn: OMB Desk Officer for DOL– approval is scheduled to expire on OWCP, Office of Management and Departmental Clearance Officer. February 28, 2015; however, the DOL Budget, Room 10235, 725 17th Street [FR Doc. 2015–04078 Filed 2–26–15; 8:45 am] notes that existing information NW., Washington, DC 20503; by Fax: collection requirements submitted to the BILLING CODE 4510–CF–P 202–395–5806 (this is not a toll-free OMB receive a month-to-month number); or by email: OIRA_ extension while they undergo review. submission@omb.eop.gov. Commenters DEPARTMENT OF LABOR New requirements would only take are encouraged, but not required, to effect upon OMB approval. For send a courtesy copy of any comments Employment and Training additional substantive information Administration by mail or courier to the U.S. about this ICR, see the related notice Department of Labor-OASAM, Office of published in the Federal Register on Notice To Ensure State Workforce the Chief Information Officer, Attn: December 1, 2014 (79 FR 71130). Agencies Are Aware of the Revised Departmental Information Compliance Interested parties are encouraged to Schedule of Remuneration for the Management Program, Room N1301, send comments to the OMB, Office of Unemployment Compensation for Ex- 200 Constitution Avenue NW., Information and Regulatory Affairs at Servicemembers (UCX) Program That Washington, DC 20210; or by email: the address shown in the ADDRESSES Reflects the Military Pay Increase DOL_PRA_PUBLIC@dol.gov. section within thirty (30) days of Effective January 1, 2015 FOR FURTHER INFORMATION CONTACT: publication of this notice in the Federal Michel Smyth by telephone at 202–693– Register. In order to help ensure AGENCY: Employment and Training 4129, TTY 202–693–8064, (these are not appropriate consideration, comments Administration, Labor. toll-free numbers) or sending an email should mention OMB Control Number ACTION: Notice. to DOL_PRA_PUBLIC@dol.gov. 1240–0041. The OMB is particularly Authority: 44 U.S.C. 3507(a)(1)(D). interested in comments that: SUMMARY: Each year, the Department of • Evaluate whether the proposed Defense issues a Schedule of SUPPLEMENTARY INFORMATION: This ICR Remuneration that may be used by seeks approval under the PRA for collection of information is necessary for the proper performance of the states, as needed, for UCX purposes. revisions to the Notice of Final Payment States must use the schedule to or Suspension of Compensation Benefits functions of the agency, including whether the information will have determine Federal military wages for information collection. The Notice of UCX ‘‘first claims’’ only when the Final Payment or Suspension of practical utility; • Evaluate the accuracy of the Federal Claims Control Center (FCCC) Compensation Benefits, Form LS–208, is responds to a request for information used by insurance carriers and self- agency’s estimate of the burden of the proposed collection of information, indicating that there is no Copy 5 of the insured employers to report the Certificate of Release or Discharge from payment of benefits under the including the validity of the methodology and assumptions used; Active Duty (DD Form 214) for an Longshore and Harbors Workers individual under the social security Compensation Act. This information • Enhance the quality, utility, and clarity of the information to be number provided. A response from the collection has been classified as a FCCC that indicates ‘‘no DD214 on file’’ revision, because the Department has collected; and • Minimize the burden of the will prompt the state to start the made cosmetic changes to the Form LS– affidavit process and to use the attached 208, such as expanding the size and collection of information on those who are to respond, including through the schedule to calculate the Federal types of boxes used for responding. military wages for an unemployment These changes are not expected to use of appropriate automated, electronic, mechanical, or other insurance or UCX monetary change the public burden. Longshore determination. and Harbor Workers’ Compensation Act technological collection techniques or other forms of information technology, The schedule applies to UCX ‘‘first section 914(g) authorizes this collection. claims’’ filed beginning with the first See 33 U.S.C. 914(g). e.g., permitting electronic submission of responses. day of the first week that begins on or This information collection is subject Agency: DOL–OWCP. after January 1, 2015, pursuant to the to the PRA. A Federal agency generally UCX program regulations (see 20 CFR cannot conduct or sponsor a collection Title of Collection: Notice of Final 614.12(c)). States must continue to use of information, and the public is Payment or Suspension of the existing schedule for UCX ‘‘first generally not required to respond to an Compensation Benefits. claims’’ filed before the effective date of information collection, unless it is OMB Control Number: 1240–0041. the revised schedule. approved by the OMB under the PRA Affected Public: Private Sector— mstockstill on DSK4VPTVN1PROD with NOTICES and displays a currently valid OMB Businesses or other for-profits. Portia Wu, Control Number. In addition, Total Estimated Number of Assistant Secretary for Employment and notwithstanding any other provisions of Respondents: 600. Training, Labor. VerDate Sep<11>2014 18:05 Feb 26, 2015 Jkt 235001 PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 E:\FR\FM\27FEN1.SGM 27FEN1


Document Created: 2015-12-18 13:14:17
Document Modified: 2015-12-18 13:14:17
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.
ContactMichel Smyth by telephone at 202-693- 4129, TTY 202-693-8064, (these are not toll-free numbers) or sending an email to [email protected]
FR Citation80 FR 10720 
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