81 FR 61255 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization Request Forms/Certification/Letter of Medical Necessity
DEPARTMENT OF LABOR
Office of the Secretary Federal Register Volume 81, Issue 172 (September 6, 2016)
Office of the Secretary
Federal Register Volume 81, Issue 172 (September 6, 2016)
| Page Range | 61255-61256 | |
| FR Document | 2016-21451 |
[Federal Register Volume 81, Number 172 (Tuesday, September 6, 2016)] [Notices] [Pages 61255-61256] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-21451] ----------------------------------------------------------------------- DEPARTMENT OF LABOR Office of the Secretary Agency Information Collection Activities; Submission for OMB Review; Comment Request; Authorization Request Forms/Certification/ Letter of Medical Necessity ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) proposal titled, ``Authorization Request Forms/ Certification/Letter of Medical Necessity,'' 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 October 6, 2016. 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=201606-1240-003 (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 (this is not a toll-free number) 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- 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: Contact Michel Smyth by telephone at 202-693-4129 (this is not a toll-free number) or by email at [email protected]. Authority: 44 U.S.C. 3507(a)(1)(D). SUPPLEMENTARY INFORMATION: This ICR seeks PRA authority for the Authorization Request Forms/Certification/Letter of Medical Necessity information collection consisting of Forms CA-26 (Authorization Request Form and Certification/Letter of Medical Necessity for Compounded Drugs) and CA-27 (Authorization Request Form and Certification/Letter of Medical Necessity for Opioid Medications). The Federal Employee's Compensation Act (FECA) provides that the OWCP furnish to a Federal employee who is injured while in the performance of duty the services, appliances, and supplies prescribed or recommended by a qualified physician that the OWCP considers likely to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of the monthly compensation. See 5 U.S.C. 8103. Forms CA-26 and CA-27 require an injured worker's treating physician to answer questions about the prescribed opioids and/or compounded drugs and certify they are medically necessary to treat the work-related injury. Responses to the questions are intended to ensure treating physicians have considered non-opioid and non-compounded drug alternatives and are only prescribing the most cost effective and medically necessary drugs. The forms will also permit the OWCP more easily to track the volume, type, and characteristics of opioids and compounded drugs authorized by the FECA program. The forms will serve as a means for injured workers to continue receiving opioids and compounded drugs only where medically necessary and simultaneously give the OWCP greater oversight in monitoring their appropriate use and gather additional data about their use. FECA section 36(a)(2) authorizes this information collection. See 5 U.S.C. 8124(a)(2). This proposed 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 if the collection of information does not display a valid Control Number. See 5 CFR 1320.5(a) and 1320.6. For additional information, see the related notice published in the Federal Register on June 22, 2016 (81 FR 40721). 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 ICR Reference Number 201606- 1240-003. 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. [[Page 61256]] Title of Collection: Authorization Request Forms/Certification/ Letter of Medical Necessity. OMB ICR Reference Number: 2016006-1240-003. Affected Public: Individuals or Households. Total Estimated Number of Respondents: 86,000. Total Estimated Number of Responses: 71,275. Total Estimated Annual Time Burden: 43,000 hours. Total Estimated Annual Other Costs Burden: $0. Dated: September 1, 2016. Michel Smyth, Departmental Clearance Officer. [FR Doc. 2016-21451 Filed 9-2-16; 8:45 am] BILLING CODE 4510-CH-P
![Federal Register / Vol. 81, No. 172 / Tuesday, September 6, 2016 / Notices 61255
other forms of information technology, (this link will only become active on the the volume, type, and characteristics of
e.g., permitting electronic submission of day following publication of this notice) opioids and compounded drugs
responses. or by contacting Michel Smyth by authorized by the FECA program. The
Agency: DOL–ETA. telephone at 202–693–4129 (this is not forms will serve as a means for injured
Type of Review: Revision. a toll-free number) or by email at DOL_ workers to continue receiving opioids
Title of Collection: Benefits PRA_PUBLIC@dol.gov. and compounded drugs only where
Timeliness and Quality Review System. Submit comments about this request medically necessary and simultaneously
Form(s): ETA–9050, ETA–9051, ETA– by mail or courier to the Office of give the OWCP greater oversight in
9052, ETA–9054, ETA–9055, ETA–9056, Information and Regulatory Affairs, monitoring their appropriate use and
ETA–9057. Attn: OMB Desk Officer for DOL– gather additional data about their use.
OMB Control Number: 1205–0359. OWCP, Office of Management and FECA section 36(a)(2) authorizes this
Affected Public: State Workforce Budget, Room 10235, 725 17th Street information collection. See 5 U.S.C.
Agencies. NW., Washington, DC 20503; by Fax: 8124(a)(2).
Estimated Number of Respondents: 53 202–395–5806 (this is not a toll-free This proposed information collection
state agencies. number); or by email: OIRA_ is subject to the PRA. A Federal agency
Frequency: Monthly and Quarterly. submission@omb.eop.gov. Commenters generally cannot conduct or sponsor a
Total Estimated Annual Responses: are encouraged, but not required, to collection of information, and the public
29,196. send a courtesy copy of any comments
Estimated Average Time per is generally not required to respond to
by mail or courier to the U.S. an information collection, unless it is
Response: 80.5 minutes. Department of Labor-OASAM, Office of
Estimated Total Annual Burden approved by the OMB under the PRA
the Chief Information Officer, Attn: and displays a currently valid OMB
Hours: 38,132 hours. Departmental Information Compliance
Total Estimated Annual Other Cost Control Number. In addition,
Management Program, Room N1301, notwithstanding any other provisions of
Burden: $0. 200 Constitution Avenue NW., law, no person shall generally be subject
Portia Wu, Washington, DC 20210; or by email: to penalty for failing to comply with a
Assistant Secretary for Employment and DOL_PRA_PUBLIC@dol.gov. collection of information if the
Training Administration. FOR FURTHER INFORMATION CONTACT: collection of information does not
[FR Doc. 2016–21319 Filed 9–2–16; 8:45 am] Contact Michel Smyth by telephone at display a valid Control Number. See 5
BILLING CODE 4510–FW–P 202–693–4129 (this is not a toll-free CFR 1320.5(a) and 1320.6. For
number) or by email at DOL_PRA_ additional information, see the related
PUBLIC@dol.gov. notice published in the Federal Register
DEPARTMENT OF LABOR Authority: 44 U.S.C. 3507(a)(1)(D). on June 22, 2016 (81 FR 40721).
SUPPLEMENTARY INFORMATION: This ICR Interested parties are encouraged to
Office of the Secretary send comments to the OMB, Office of
seeks PRA authority for the
Agency Information Collection Authorization Request Forms/ Information and Regulatory Affairs at
Activities; Submission for OMB Certification/Letter of Medical Necessity the address shown in the ADDRESSES
Review; Comment Request; information collection consisting of section within thirty (30) days of
Authorization Request Forms/ Forms CA–26 (Authorization Request publication of this notice in the Federal
Certification/Letter of Medical Form and Certification/Letter of Medical Register. In order to help ensure
Necessity Necessity for Compounded Drugs) and appropriate consideration, comments
CA–27 (Authorization Request Form should mention OMB ICR Reference
ACTION: Notice. and Certification/Letter of Medical Number 201606–1240–003. The OMB is
Necessity for Opioid Medications). The particularly interested in comments
SUMMARY: The Department of Labor Federal Employee’s Compensation Act that:
(DOL) is submitting the Office of (FECA) provides that the OWCP furnish • Evaluate whether the proposed
Workers’ Compensation Programs to a Federal employee who is injured collection of information is necessary
(OWCP) sponsored information while in the performance of duty the for the proper performance of the
collection request (ICR) proposal titled, services, appliances, and supplies functions of the agency, including
‘‘Authorization Request Forms/ prescribed or recommended by a whether the information will have
Certification/Letter of Medical qualified physician that the OWCP practical utility;
Necessity,’’ to the Office of Management considers likely to cure, give relief, • Evaluate the accuracy of the
and Budget (OMB) for review and reduce the degree or the period of agency’s estimate of the burden of the
approval for use in accordance with the disability, or aid in lessening the proposed collection of information,
Paperwork Reduction Act (PRA) of 1995 amount of the monthly compensation. including the validity of the
(44 U.S.C. 3501 et seq.). Public See 5 U.S.C. 8103. Forms CA–26 and methodology and assumptions used;
comments on the ICR are invited. CA–27 require an injured worker’s • Enhance the quality, utility, and
DATES: The OMB will consider all treating physician to answer questions clarity of the information to be
written comments that agency receives about the prescribed opioids and/or collected; and
on or before October 6, 2016. compounded drugs and certify they are • Minimize the burden of the
ADDRESSES: A copy of this ICR with medically necessary to treat the work- collection of information on those who
applicable supporting documentation; related injury. Responses to the are to respond, including through the
mstockstill on DSK3G9T082PROD with NOTICES
including a description of the likely questions are intended to ensure use of appropriate automated,
respondents, proposed frequency of treating physicians have considered electronic, mechanical, or other
response, and estimated total burden non-opioid and non-compounded drug technological collection techniques or
may be obtained free of charge from the alternatives and are only prescribing the other forms of information technology,
RegInfo.gov Web site at http:// most cost effective and medically e.g., permitting electronic submission of
www.reginfo.gov/public/do/ necessary drugs. The forms will also responses.
PRAViewICR?ref_nbr=201606-1240-003 permit the OWCP more easily to track Agency: DOL–OWCP.
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![61256 Federal Register / Vol. 81, No. 172 / Tuesday, September 6, 2016 / Notices
Title of Collection: Authorization Room 10235, 725 17th Street NW., October 31, 2016; however, the DOL
Request Forms/Certification/Letter of Washington, DC 20503; by Fax: 202– notes that existing information
Medical Necessity. 395–5806 (this is not a toll-free collection requirements submitted to the
OMB ICR Reference Number: number); or by email: OIRA_ OMB receive a month-to-month
2016006–1240–003. submission@omb.eop.gov. Commenters extension while they undergo review.
Affected Public: Individuals or are encouraged, but not required, to New requirements would only take
Households. send a courtesy copy of any comments effect upon OMB approval. For
Total Estimated Number of by mail or courier to the U.S. additional substantive information
Respondents: 86,000. Department of Labor-OASAM, Office of about this ICR, see the related notice
Total Estimated Number of the Chief Information Officer, Attn: published in the Federal Register on
Responses: 71,275. Departmental Information Compliance April 22, 2016 (81 FR 23753).
Total Estimated Annual Time Burden: Management Program, Room N1301, Interested parties are encouraged to
43,000 hours. 200 Constitution Avenue NW., send comments to the OMB, Office of
Total Estimated Annual Other Costs
Washington, DC 20210; or by email: Information and Regulatory Affairs at
Burden: $0.
DOL_PRA_PUBLIC@dol.gov. the address shown in the ADDRESSES
Dated: September 1, 2016. FOR FURTHER INFORMATION CONTACT: section within thirty (30) days of
Michel Smyth, Michel Smyth by telephone at 202–693– publication of this notice in the Federal
Departmental Clearance Officer. 4129, TTY 202–693–8064, (these are not Register. In order to help ensure
[FR Doc. 2016–21451 Filed 9–2–16; 8:45 am] toll-free numbers) or sending an email appropriate consideration, comments
BILLING CODE 4510–CH–P to DOL_PRA_PUBLIC@dol.gov. should mention OMB Control Number
SUPPLEMENTARY INFORMATION: This ICR 1220–0042. The OMB is particularly
seeks approval under the PRA for interested in comments that:
DEPARTMENT OF LABOR revisions to the Report on Occupational • Evaluate whether the proposed
Employment and Wages information collection of information is necessary
Office of the Secretary collection. The Occupational for the proper performance of the
Employment Statistics (OES) survey is a functions of the agency, including
Agency Information Collection whether the information will have
Activities; Submission for OMB Federal/State establishment survey of
wage and salary workers designed to practical utility;
Review; Comment Request; Report on • Evaluate the accuracy of the
Occupational Employment and Wages produce data on current detailed
occupational employment and wages for agency’s estimate of the burden of the
ACTION: Notice. each Metropolitan Statistical Area and proposed collection of information,
Metropolitan Division as well as by including the validity of the
SUMMARY: The Department of Labor detailed industry classification. OES methodology and assumptions used;
(DOL) is submitting the Bureau of Labor survey data assists in the development • Enhance the quality, utility, and
Statistics (BLS) sponsored information of employment and training programs clarity of the information to be
collection request (ICR) revision titled, established by the Perkins Vocational collected; and
‘‘Report on Occupational Employment Education Act of 1998. This ICR has • Minimize the burden of the
and Wages,’’ to the Office of been classified as a revision, because its collection of information on those who
Management and Budget (OMB) for approval as submitted would update are to respond, including through the
review and approval for use in collection materials, eliminate industry- use of appropriate automated,
accordance with the Paperwork specific long forms for larger electronic, mechanical, or other
Reduction Act (PRA) of 1995 (44 U.S.C. establishments, test asking smaller technological collection techniques or
3501 et seq.). Public comments on the employers to submit electronically as a other forms of information technology,
ICR are invited. primary option, and test a new short e.g., permitting electronic submission of
DATES: The OMB will consider all write-in form that contains variable responses.
written comments that agency receives information targeted to specific Agency: DOL–BLS.
on or before October 6, 2016. establishments. The Wagner-Peyser Act Title of Collection: Report on
ADDRESSES: A copy of this ICR with authorizes this information collection. Occupational Employment and Wages.
applicable supporting documentation; See 29 U.S.C. 49I–2. OMB Control Number: 1220–0042.
including a description of the likely This information collection is subject Affected Public: Federal Government;
respondents, proposed frequency of to the PRA. A Federal agency generally State, Local, and Tribal Governments;
response, and estimated total burden cannot conduct or sponsor a collection and Private Sector—businesses or other
may be obtained free of charge from the of information, and the public is for-profits, not-for-profit institutions.
RegInfo.gov Web site at http:// generally not required to respond to an Total Estimated Number of
www.reginfo.gov/public/do/ information collection, unless it is Respondents: 297,521.
PRAViewICR?ref_nbr=201606-1220-002 approved by the OMB under the PRA Total Estimated Number of
(this link will only become active on the and displays a currently valid OMB Responses: 297,521.
day following publication of this notice) Control Number. In addition, Total Estimated Annual Time Burden:
or by contacting Michel Smyth by notwithstanding any other provisions of 148,760 hours.
telephone at 202–693–4129, TTY 202– law, no person shall generally be subject Total Estimated Annual Other Costs
693–8064, (these are not toll-free to penalty for failing to comply with a Burden: $0.
mstockstill on DSK3G9T082PROD with NOTICES
numbers) or sending an email to DOL_ collection of information that does not Authority: 44 U.S.C. 3507(a)(1)(D).
PRA_PUBLIC@dol.gov. display a valid Control Number. See 5
Submit comments about this request CFR 1320.5(a) and 1320.6. The DOL Dated: August 30, 2016.
by mail or courier to the Office of obtains OMB approval for this Michel Smyth,
Information and Regulatory Affairs, information collection under Control Departmental Clearance Officer.
Attn: OMB Desk Officer for DOL–BLS, Number 1220–0042. The current [FR Doc. 2016–21303 Filed 9–2–16; 8:45 am]
Office of Management and Budget, approval is scheduled to expire on BILLING CODE 4510–24–P
VerDate Sep<11>2014 17:04 Sep 02, 2016 Jkt 238001 PO 00000 Frm 00076 Fmt 4703 Sfmt 9990 E:\FR\FM\06SEN1.SGM 06SEN1](https://thefederalregister.org/doc/81_FR_61427/page/2.svg)
Document Created: 2018-02-09 12:04:27
Document Modified: 2018-02-09 12:04:27
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | The OMB will consider all written comments that agency receives on or before October 6, 2016. | |
| Contact | Contact Michel Smyth by telephone at 202-693-4129 (this is not a toll-free number) or by email at [email protected] | |
| FR Citation | 81 FR 61255 |
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