Federal Register / Vol. 89, No. 230 / Friday, November 29, 2024 / Notices 94765 

—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. 

Abstract: A party affected by a 

decision of a Department of Homeland 

Security (DHS) Officer may appeal that 

decision to the Board of Immigration 

Appeals (BIA or Board), provided that 

the Board has jurisdiction pursuant to 8 

CFR 1003.1(b). The party must complete 

the Form EOIR–29 and submit it to the 

DHS office having administrative 

control over the record of proceeding in 

order to exercise its regulatory right to 

appeal. 

EOIR has made the following 

substantive changes to the form: 

allowing respondents to provide a safe 

mailing address and to designate 

another individual to receive mail; 

replacing the field for the respondent’s 

petition form number with a new field 

for the respondent’s petition receipt 

number; and including new fields for 

the respondent’s street address, 

apartment or unit number, city, state, 

and zip code, rather than a single field 

for the respondent’s address. In 

addition, EOIR has made the following 

non-substantive changes: modifying the 

appearance and formatting of the 

General Instructions; revising the 

existing form instructions for clarity; 

and updating links to web pages and 

resources embedded throughout the 

form. EOIR intends these revisions to 

reduce the public’s burden in 

completing the form and to reduce the 

Agency’s processing time for each form. 

Overview of This Information 

Collection 

1. Type of Information Collection: 

Revision and extension of a currently 

approved collection. 

2. The Title of the Form/Collection: 

Notice of Appeal to the Board of 

Immigration Appeals from a Decision of 

a DHS Officer. 

3. The agency form number, if any, 

and the applicable component of the 

Department sponsoring the collection: 

The form number is EOIR–29. The 

applicable component within the 

Department of Justice is the Executive 

Office for Immigration Review. 

4. Affected public who will be asked 

or required to respond, as well as the 

obligation to respond: Individuals or 

Households. The obligation to respond 

is required to obtain/retain a benefit 

(appeal). 

5. An estimate of the total number of 

respondents and the amount of time 

estimated for an average respondent to 

respond: The estimated annual number 

of respondents for the Form EOIR–29 is 

3,056. The estimated time per response 

is 30 minutes. 

6. An estimate of the total annual 

burden (in hours) associated with the 

collection: The total annual burden 

hours for this collection is 1,528 hours. 

7. An estimate of the total annual cost 

burden associated with the collection, if 

applicable: There are no capital or startup costs associated with this 

information collection. The estimated 

public cost is zero. 

TOTAL BURDEN HOURS

Activity Number of 

respondents 

Frequency 

(annually) 

Total annual 

responses 

Time per 

response 

(minutes) 

Total annual 

burden 

(hours) 

Form EOIR–29 ..................................................................... 3,056 1 3,056 30 1,528 

Unduplicated Totals ...................................................... 3,056 ........................ 3,056 ........................ 1,528 

If additional information is required 

contact: Darwin Arceo, Department 

Clearance Officer, United States 

Department of Justice, Justice 

Management Division, Policy and 

Planning Staff, Two Constitution 

Square, 145 N Street NE, 4W–218, 

Washington, DC. 

Dated: November 25, 2024. 

Darwin Arceo, 

Department Clearance Officer for PRA, U.S. 

Department of Justice. 

[FR Doc. 2024–28048 Filed 11–27–24; 8:45 am] 

BILLING CODE 4410–30–P 

DEPARTMENT OF LABOR 

Office of Workers’ Compensation 

Programs 

[OMB Control No. 1240–0019] 

Proposed Revision of a Currently 

Approved Collection: Uniform Billing 

Form (OWCP–04) 

AGENCY: Office of Workers’ 

Compensation Programs, Labor. 

ACTION: Request for public comments. 

SUMMARY: The Department of Labor, as 

part of its continuing effort to reduce 

paperwork and respondent burden, 

conducts a pre-clearance request for 

comment to provide the general public 

and Federal agencies with an 

opportunity to comment on proposed 

collections of information in accordance 

with the Paperwork Reduction Act of 

1995. This request helps to ensure that: 

requested data can be provided in the 

desired format; reporting burden (time 

and financial resources) is minimized; 

collection instruments are clearly 

understood; and the impact of collection 

requirements on respondents can be 

properly assessed. Currently, the Office 

of Workers’ Compensation Programs 

(OWCP) is soliciting comments on the 

information collection for Uniform 

Billing Form (OWCP–04). 

DATES: All comments must be received 

on or before January 28, 2025. 

ADDRESSES: You may submit comment 

as follows. Please note that late, 

untimely filed comments will not be 

considered. 

Written/Paper Submissions: Submit 

written/paper submissions in the 

following way: 

• Mail/Hand Delivery: Mail or visit 

DOL–OWCP, Office of Workers’ 

Compensation Programs, U.S. 

Department of Labor, 200 Constitution 

Avenue NW, Room S3524, Washington, 

DC 20210. 

• OWCP will post your comment as 

well as any attachments, except for 

information submitted and marked as 

confidential, in the docket at https://

www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Anjanette Suggs, Office of Workers’ 

Compensation Programs, at 

suggs.anjanette@dol.gov (email) or (202) 

354–9660 (voice). 

SUPPLEMENTARY INFORMATION: 

I. Background 

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, the Black Lung 

Benefits Act (BLBA), 30 U.S.C. 901, and 


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94766 Federal Register / Vol. 89, No. 230 / Friday, November 29, 2024 / Notices 

the Energy Employees Occupational 

Illness Compensation Program Act of 

2000 (EEOICPA), 42 U.S.C. 7384. All 

three of these statutes require that 

OWCP pay for medical treatment of 

beneficiaries; this medical treatment can 

include inpatient/outpatient hospital 

services, as well as services provided by 

nursing homes and skilled nursing 

facilities. In order to determine whether 

billed amounts are appropriate, OWCP 

needs to identify the patient, the 

specific services that were rendered and 

their relationship to the work-related 

injury or illness. The regulations 

implementing these statutes require the 

use of Form OWCP–04 or OWCP–04 for 

the submission of medical bills from 

institutional providers (20 CFR 10.801, 

30.701, 725.405, 725.406, 725.701 and 

725.715). 

The Uniform Billing Form, also 

known as the paper OWCP–04, has been 

approved by the American Hospital 

Association. It is used by the Centers for 

Medicare and Medicaid Services (CMS), 

Tricare, the Department of Veterans 

Affairs (DVA), and the private sector to 

request payment to institutional 

providers for medical services. The 

paper OWCP–04 has been designed by 

the National Uniform Billing Committee 

and is neither a government-printed 

form nor distributed by OWCP; OWCP 

has, however, developed detailed 

instructions for institutional providers 

that use the OWCP–04 to ensure that 

they provide the information needed to 

evaluate their requests for payment. The 

paper OWCP–04 is an ideal billing 

instrument for the provider community 

that services FECA, BLBA and EEOICPA 

beneficiaries because of its familiarity, 

its common use, and its acceptance by 

both government and private health 

service payers. 

II. Desired Focus of Comments 

OWCP is soliciting comments 

concerning the proposed information 

collection related to the Uniform Billing 

Form. 

OWCP is particularly interested in 

comments that: 

• Evaluate whether the collection of 

information is necessary for the proper 

performance of the functions of the 

Agency, including whether the 

information has practical utility; 

• Evaluate the accuracy of OWCP’s 

estimate of the burden related to the 

information collection, including the 

validity of the methodology and 

assumptions used in the estimate; 

• Suggest methods to enhance the 

quality, utility, and clarity of the 

information to be collected; and 

• Minimize the burden of the 

information collection 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. 

Background documents related to this 

information collection request are 

available at https://regulations.gov and 

at DOL–OWCP located at 200 

Constitution Avenue NW, Room S– 

3524, Washington, DC 20210. Questions 

about the information collection 

requirements may be directed to the 

person listed in the FOR FURTHER

INFORMATION section of this notice. 

III. Current Actions 

This information collection request 

concerns the Uniform Billing Form. 

OWCP has updated the data with 

respect to the number of respondents, 

responses, burden hours, and burden 

costs supporting this information 

collection request from the previous 

information collection request. 

Type of Review: Revision of a 

currently approved collection. 

Agency: Office of Workers’ 

Compensation Programs. 

OMB Number: 1240–0019. 

Affected Public: Private Sector: 

Business or other for-profits and not-forprofit institutions. 

Number of Respondents: 7,549. 

Frequency: On Occasion. 

Number of Responses: 198,830. 

Annual Burden Hours: 16,420. 

OWCP Forms: Uniform Billing Form 

[OWCP–04], [Uniform Billing Form]. 

Comments submitted in response to 

this notice will be summarized in the 

request for Office of Management and 

Budget approval of the proposed 

information collection request; they will 

become a matter of public record and 

will be available at https://

www.reginfo.gov. 

Anjanette C. Suggs, 

Certifying Officer. 

[FR Doc. 2024–28046 Filed 11–27–24; 8:45 am] 

BILLING CODE 4510–CR–P 

NATIONAL CREDIT UNION 

ADMINISTRATION 

Renewal of Agency Information 

Collections for Comments Request: 

Proposed Collections 

AGENCY: National Credit Union 

Administration (NCUA). 

ACTION: Notice and request for 

comments. 

SUMMARY: The National Credit Union 

Administration (NCUA) will submit the 

following information collection 

requests to the Office of Management 

and Budget (OMB) for review and 

clearance in accordance with the 

Paperwork Reduction Act of 1995, on or 

after the date of publication of this 

notice. 

DATES: Written comments should be 

received on or before January 28, 2025 

to be assured consideration. 

ADDRESSES: Interested persons are 

invited to submit written comments on 

the information collection to Dacia 

Rogers, National Credit Union 

Administration, 1775 Duke Street, 

Alexandria, Virginia 22314, Suite 5067; 

Fax No. (703) 519–8161; or email at 

PRAComments@NCUA.gov. 

FOR FURTHER INFORMATION CONTACT: 

Copies of the submission may be 

obtained by contacting Dacia Rogers at 

(703) 518–6547. 

SUPPLEMENTARY INFORMATION: 

OMB Number: 3133–0202. 

Title: Proof of Concept for New 

Charter Organizing Groups. 

Type of Review: Extension of a 

previously approved collection. 

Abstract: The Office of Credit Union 

Resources and Expansion (CURE) is 

responsible for the review and approval 

of charter applications submitted by 

organizing groups. CURE has 

implemented a charter modernization 

process to improve the quality of charter 

applications received. This will help 

ensure organizing groups submit a wellthought out, well-developed charter 

plan to minimize the back and forth 

communication and improve overall 

chartering processing times. CURE 

management implemented the Proof of 

Concept (POC) data collection through 

the CyberGrants system, which 

documents the four most critical 

elements for establishing a new charter. 

The information collection is needed to 

determine the adequacy of a group’s 

chartering concept and provide 

guidance, as needed, and would identify 

the level of understanding an organizing 

group has before they make a formal 

charter application submission as 

prescribed by appendix B to 12 CFR part 

701 (12 U.S.C. 1758, 1759). 

Affected Public: Private Sector: Notfor-profit institutions. 

Estimated Total Annual Burden 

Hours: 104. 

OMB Number: 3133–0207. 

Title: Subordinated Debt, 12 CFR Part 

702, subpart D. 

Type of Review: Extension of a 

previously approved collection. 

Abstract: Subpart D of part 702 

addresses limits on loans to other credit 

unions; an expansion of the borrowing 

rule to clarify that federal credit unions 


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