81 FR 95649 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Medical Travel Refund Request

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 81, Issue 249 (December 28, 2016)

Page Range		95649-95650
FR Document		2016-31385

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) titled, ``Medical Travel Refund Request,'' to the Office of Management and Budget (OMB) for review and approval for continued use, without change, in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et seq.).

Federal Register, Volume 81 Issue 249 (Wednesday, December 28, 2016)

[Federal Register Volume 81, Number 249 (Wednesday, December 28, 2016)]
[Notices]
[Pages 95649-95650]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31385]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Medical Travel Refund Request

ACTION: Notice.

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

SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) titled, ``Medical Travel Refund Request,'' to the Office 
of Management and Budget (OMB) for review and approval for continued 
use, without change, in accordance with the Paperwork Reduction Act 
(PRA) of 1995 (44 U.S.C. 3501 et seq.).

DATES: Submit comments on or before January 27, 2017.

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=201609-1240-001 (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 sending an email to [email protected].
    Submit comments about this request 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, Fax: 202-395-6881 (this is not a toll-free number), email: 
[email protected]. Commenters are encouraged, but not 
required, to send a courtesy copy of any comments to the U.S. 
Department of Labor-OASAM, Office of the Chief Information Officer, 
Attn: Information Management Program, Room N1301, 200 Constitution 
Avenue NW., Washington, DC 20210, 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: Respondents use Form OWCP-957 to request 
reimbursement for out-of-pocket expenses incurred when traveling to 
medical providers for covered medical testing or treatment. 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 1240-0037.
    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 December 31, 2016; 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 October 24, 2016 (81 FR 73142).
    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 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0037. 
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: Medical Travel Refund Request.
    OMB Control Number: 1240-0037.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 342,462.
    Total Estimated Number of Responses: 342,462.
    Total Estimated Annual Burden Hours: 56,849.

[[Page 95650]]

    Total Estimated Annual Other Costs Burden: $171,123.

Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016-31385 Filed 12-27-16; 8:45 am]
 BILLING CODE 4510-CR-P

Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices 95649

review. New requirements would only SUMMARY: The Department of Labor law, no person shall generally be subject
take effect upon OMB approval. (DOL) is submitting the Office of to penalty for failing to comply with a
Interested parties are encouraged to Workers’ Compensation Programs collection of information that does not
send comments to the OMB, Office of (OWCP) sponsored information display a valid Control Number. See 5
Information and Regulatory Affairs at collection request (ICR) titled, ‘‘Medical CFR 1320.5(a) and 1320.6. The DOL
the address shown in the ADDRESSES Travel Refund Request,’’ to the Office of obtains OMB approval for this
section within 30 days of publication of Management and Budget (OMB) for information collection under Control
this notice in the Federal Register. In review and approval for continued use, Number 1240–0037.
order to help ensure appropriate without change, in accordance with the OMB authorization for an ICR cannot
consideration, comments should Paperwork Reduction Act (PRA) of 1995 be for more than three (3) years without
mention OMB Control Number 1240– (44 U.S.C. 3501 et seq.). renewal, and the current approval for
0032. The OMB is particularly DATES: Submit comments on or before this collection is scheduled to expire on
interested in comments that: January 27, 2017. December 31, 2016; however, the DOL
• Evaluate whether the proposed ADDRESSES: A copy of this ICR with
notes that existing information
collection of information is necessary applicable supporting documentation; collection requirements submitted to the
for the proper performance of the including a description of the likely OMB receive a month-to-month
functions of the agency, including respondents, proposed frequency of extension while they undergo review.
whether the information will have response, and estimated total burden New requirements would only take
practical utility; may be obtained free of charge from the effect upon OMB approval. For
• Evaluate the accuracy of the RegInfo.gov Web site at http:// additional substantive information
agency’s estimate of the burden of the www.reginfo.gov/public/do/ about this ICR, see the related notice
proposed collection of information, PRAViewICR?ref_nbr=201609-1240-001 published in the Federal Register on
including the validity of the (this link will only become active on the October 24, 2016 (81 FR 73142).
methodology and assumptions used; Interested parties are encouraged to
day following publication of this notice)
• Enhance the quality, utility, and or by contacting Michel Smyth by
send comments to the OMB, Office of
clarity of the information to be Information and Regulatory Affairs at
telephone at 202–693–4129 (this is not
collected; and the address shown in the ADDRESSES
a toll-free number) or sending an email
• Minimize the burden of the section within 30 days of publication of
to DOL_PRA_PUBLIC@dol.gov.
collection of information on those who this notice in the Federal Register. In
Submit comments about this request
are to respond, including through the order to help ensure appropriate
to the Office of Information and
use of appropriate automated, consideration, comments should
Regulatory Affairs, Attn: OMB Desk
electronic, mechanical, or other mention OMB Control Number 1240–
Officer for DOL–OWCP, Office of
technological collection techniques or 0037. The OMB is particularly
Management and Budget, Room 10235,
other forms of information technology, interested in comments that:
725 17th Street NW., Washington, DC
e.g., permitting electronic submission of • Evaluate whether the proposed
20503, Fax: 202–395–6881 (this is not a
responses. collection of information is necessary
toll-free number), email: OIRA_
Agency: DOL–OWCP. for the proper performance of the
submission@omb.eop.gov. Commenters
Title of Collection: Request for State functions of the agency, including
are encouraged, but not required, to
or Federal Workers’ Compensation whether the information will have
send a courtesy copy of any comments
Information. practical utility;
to the U.S. Department of Labor- • Evaluate the accuracy of the
OMB Control Number: 1240–0032.
OASAM, Office of the Chief Information agency’s estimate of the burden of the
Affected Public: Federal Government;
Officer, Attn: Information Management proposed collection of information,
State, Local, and Tribal Governments.
Program, Room N1301, 200 Constitution including the validity of the
Total Estimated Number of
Avenue NW., Washington, DC 20210, methodology and assumptions used;
Respondents: 2,000.
Total Estimated Number of email: DOL_PRA_PUBLIC@dol.gov. • Enhance the quality, utility, and
Responses: 2,000. FOR FURTHER INFORMATION CONTACT: clarity of the information to be
Total Estimated Annual Burden Contact Michel Smyth by telephone at collected; and
Hours: 500. 202–693–4129 (this is not a toll-free • Minimize the burden of the
Total Estimated Annual Other Costs number) or by email at DOL_PRA_ collection of information on those who
Burden: $1,000. PUBLIC@dol.gov. are to respond, including through the
Dated: December 21, 2016. Authority: 44 U.S.C. 3507(a)(1)(D). use of appropriate automated,
electronic, mechanical, or other
Michel Smyth, SUPPLEMENTARY INFORMATION:
technological collection techniques or
Departmental Clearance Officer. Respondents use Form OWCP–957 to other forms of information technology,
[FR Doc. 2016–31387 Filed 12–27–16; 8:45 am] request reimbursement for out-of-pocket e.g., permitting electronic submission of
BILLING CODE 4510–CK–P expenses incurred when traveling to responses.
medical providers for covered medical Agency: DOL–OWCP.
testing or treatment. This information Title of Collection: Medical Travel
DEPARTMENT OF LABOR collection is subject to the PRA. Refund Request.
A Federal agency generally cannot OMB Control Number: 1240–0037.
Office of the Secretary conduct or sponsor a collection of
sradovich on DSK3GMQ082PROD with NOTICES

Affected Public: Individuals or
information, and the public is generally Households.
Agency Information Collection not required to respond to an Total Estimated Number of
Activities; Submission for OMB information collection, unless it is Respondents: 342,462.
Review; Comment Request; Medical approved by the OMB under the PRA Total Estimated Number of
Travel Refund Request and displays a currently valid OMB Responses: 342,462.
Control Number. In addition, Total Estimated Annual Burden
ACTION: Notice.
notwithstanding any other provisions of Hours: 56,849.

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95650 Federal Register / Vol. 81, No. 249 / Wednesday, December 28, 2016 / Notices

Total Estimated Annual Other Costs FOR FURTHER INFORMATION CONTACT: functions of the agency, including
Burden: $171,123. Contact Michel Smyth by telephone at whether the information will have
202–693–4129 (this is not a toll-free practical utility;
Michel Smyth,
number) or by email at • Evaluate the accuracy of the
Departmental Clearance Officer. DOL_PRA_PUBLIC@dol.gov. agency’s estimate of the burden of the
[FR Doc. 2016–31385 Filed 12–27–16; 8:45 am] proposed collection of information,
Authority: 44 U.S.C. 3507(a)(1)(D).
BILLING CODE 4510–CR–P including the validity of the
SUPPLEMENTARY INFORMATION: This ICR methodology and assumptions used;
seeks to maintain PRA authorization for • Enhance the quality, utility, and
DEPARTMENT OF LABOR the Survivor’s Form for Benefits under
clarity of the information to be
the Black Lung Benefits Act, Form CM–
Office of the Secretary collected; and
912, information collection. A survivor
• Minimize the burden of the
of a deceased miner files Form CM–912
Agency Information Collection collection of information on those who
to apply for BLBA benefits. The OWCP,
Activities; Submission for OMB are to respond, including through the
Division of Coal Mine Workers’
Review; Comment Request; Survivor’s use of appropriate automated,
Compensation uses the information in
Form for Benefits Under the Black electronic, mechanical, or other
determining the survivor’s entitlement
Lung Benefits Act technological collection techniques or
to BLBA benefits. BLBA sections 411(a)
other forms of information technology,
and 422(a) authorize this information
ACTION: Notice. e.g., permitting electronic submission of
collection. See 30 U.S.C. 921(a), 832(a).
This information collection is subject responses.
SUMMARY: The Department of Labor Agency: DOL–OWCP.
(DOL) is submitting the Office of to the PRA. A Federal agency generally
cannot conduct or sponsor a collection Title of Collection: Survivor’s Form
Workers’ Compensation Programs for Benefits under the Black Lung
(OWCP) sponsored information of information, and the public is
generally not required to respond to an Benefits Act.
collection request (ICR) titled, OMB Control Number: 1240–0027.
‘‘Survivor’s Form for Benefits under the information collection, unless it is
approved by the OMB under the PRA Affected Public: Individuals or
Black Lung Benefits Act,’’ to the Office Households.
of Management and Budget (OMB) for and displays a currently valid OMB
Control Number. In addition, Total Estimated Number of
review and approval for continued use, Respondents: 1,100.
without change, in accordance with the notwithstanding any other provisions of
law, no person shall generally be subject Total Estimated Number of
Paperwork Reduction Act (PRA) of 1995 Responses: 1,100.
(44 U.S.C. 3501 et seq.). Public to penalty for failing to comply with a
collection of information that does not Total Estimated Annual Burden
comments on the ICR are invited. Hours: 147 hours.
display a valid Control Number. See 5
DATES: Submit comments on or before Total Estimated Annual Other Costs
CFR 1320.5(a) and 1320.6. The DOL
January 27, 2017. obtains OMB approval for this Burden: $450.
ADDRESSES: A copy of this ICR with information collection under Control Dated: December 21, 2016.
applicable supporting documentation; Number 1240–0027. Michel Smyth,
including a description of the likely OMB authorization for an ICR cannot Departmental Clearance Officer.
respondents, proposed frequency of be for more than three (3) years without [FR Doc. 2016–31384 Filed 12–27–16; 8:45 am]
response, and estimated total burden renewal, and the current approval for BILLING CODE 4510–CK–P
may be obtained free of charge from the this collection is scheduled to expire on
RegInfo.gov Web site at http:// December 31, 2016. The DOL seeks to
www.reginfo.gov/public/do/ extend PRA authorization for this DEPARTMENT OF LABOR
PRAViewICR?ref_nbr=2016-1240-001 information collection for three (3) more
(this link will only become active on the years, without any change to existing Occupational Safety and Health
day following publication of this notice) requirements. The DOL also notes that Administration
or by contacting Michel Smyth by existing information collection
telephone at 202–693–4129 (this is not [Docket No. OSHA–2010–0007]
requirements submitted to the OMB
a toll-free number) or sending an email receive a month-to-month extension Nationally Recongized Testing
to DOL_PRA_PUBLIC@dol.gov. while they undergo review. For Laboratory Program Regulation;
Submit comments about this request additional substantive information Revision of the Office of Management
to the Office of Information and about this ICR, see the related notice and Budget’s (OMB) Approval of
Regulatory Affairs, Attn: OMB Desk published in the Federal Register on Information Collection (Paperwork)
Officer for DOL–OWCP, Office of July 27, 2016 (81 FR 49270). Requirements
Management and Budget, Room 10235, Interested parties are encouraged to
725 17th Street NW., Washington, DC send comments to the OMB, Office of AGENCY: Occupational Safety and Health
20503, Fax: 202–395–6881 (this is not a Information and Regulatory Affairs at Administration (OSHA), Labor.
toll-free number), email: the address shown in the ADDRESSES ACTION: Request for comments.
OIRA_submission@omb.eop.gov. section within 30 days of publication of
Commenters are encouraged, but not this notice in the Federal Register. In SUMMARY: OSHA requests comments
required, to send a courtesy copy of any concerning its proposed revision of the
sradovich on DSK3GMQ082PROD with NOTICES

order to help ensure appropriate
comments to the U.S. Department of consideration, comments should information collection requirements
Labor-OASAM, Office of the Chief mention OMB Control Number 1240– specified by its Program Regulation for
Information Officer, Attn: Information 0027. The OMB is particularly Nationally Recognized Testing
Management Program, Room N1301, interested in comments that: Laboratories, 29 CFR 1910.7 (the
200 Constitution Avenue NW., • Evaluate whether the proposed Regulation). The Regulation specifies
Washington, DC 20210, email: collection of information is necessary procedures that organizations must
DOL_PRA_PUBLIC@dol.gov. for the proper performance of the follow to apply for, and to maintain,

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Document Created: 2016-12-28 02:16:59
Document Modified: 2016-12-28 02:16:59

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		Submit comments on or before January 27, 2017.
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 95649

81 FR 95649 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Medical Travel Refund Request

DEPARTMENT OF LABOROffice of the Secretary

Federal Register Volume 81, Issue 249 (December 28, 2016)

DEPARTMENT OF LABOR
Office of the Secretary