Federal Register / Vol. 74, No. 119 / Tuesday, June 23, 2009 / Notices 29721 

DEPARTMENT OF LABOR 

Employment Standards Administration 

Proposed Extension of the Approval of 

Information Collection Requirements 

ACTION: Notice. 

SUMMARY: The Department of Labor, as 

part of its continuing effort to reduce 

paperwork and respondent burden, 

conducts a preclearance consultation 

program to provide the general public 

and Federal agencies with an 

opportunity to comment on proposed 

and/or continuing collections of 

information in accordance with the 

Paperwork Reduction Act of 1995 

(PRA95) [44 U.S.C. 3506(c)(2)(A)]. This 

program 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 

Employment Standards Administration 

is soliciting comments concerning its 

proposal to extend the Office of 

Management and Budget (OMB) 

approval of the Information Collection: 

Uniform Billing Form (OWCP–04). A 

copy of the proposed information 

collection request can be obtained by 

contacting the office listed below in the 

ADDRESSES section of this Notice. 

DATES: Written comments must be 

submitted to the office listed in the 

addresses section below on or before 

August 24, 2009. 

ADDRESSES: Mr. Steven D. Lawrence, 

U.S. Department of Labor, 200 

Constitution Ave., NW., Room S–3201, 

Washington, DC 20210, telephone (202) 

693–0292, fax (202) 693–1451, E-mail 

Lawrence.Steven@dol.gov. Please use 

only one method of transmission for 

comments (mail, fax, or E-mail). 

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 et seq., the 

Black Lung Benefits Act (BLBA), 30 

U.S.C. 901 et seq., and the Energy 

Employees Occupational Illness 

Compensation Program Act of 2000 

(EEOICPA), 42 U.S.C. 7384 et seq. 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 (which includes 

the first page of the private sector Form 

UB–04) for the submission of medical 

bills from institutional providers (20 

CFR 10.801, 30.701, 725.405, 725.406, 

725.701 and 725.704). 

The Uniform Billing Form, known as 

the paper UB–04, has been approved by 

the American Hospital Association, the 

Centers for Medicare and Medicaid 

Services, the Civilian Health and 

Medical Program of the Uniformed 

Services (CHAMPUS), by various other 

government health care programs, and 

by the private sector, to request payment 

to institutional providers of medical 

services. The paper UB–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 to ensure that it obtains the 

information it needs to consider 

requests for payment from institutional 

providers using this form. This 

information collection is currently 

approved for use through January 31, 

2010. 

II. Review Focus: The Department of 

Labor 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 submissions 

of responses. 

III. Current Actions: The Department 

of Labor seeks approval for the 

extension of this information collection 

in order to carry out its responsibility to 

provide payment covered medical 

services to injured employees who are 

covered under the FECA, BLBA and the 

EEOICPA. 

Type of Review: Extension. 

Agency: Employment Standards 

Administration. 

Title: Uniform Billing Form (OWCP– 

04). 

OMB Number: 1215–0176. 

Affected Public: Individuals or 

households; Business or other for-profit; 

Not-for-profit institutions. 

Total Respondents: 5,481. 

Total Annual responses: 21,924. 

Estimated Total Burden Hours: 2,558. 

Estimated Time Per Response: 7 

minutes. 

Frequency: Annually. 

Total Burden Cost (capital/startup): 

$0. 

Total Burden Cost (operating/ 

maintenance): $0. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget approval of the 

information collection request; they will 

also become a matter of public record. 

Dated: June 18, 2009. 

Steven D. Lawrence, 

Acting Chief, Branch of Management Review 

and Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration. 

[FR Doc. E9–14688 Filed 6–22–09; 8:45 am] 

BILLING CODE 4510–CH–P 

DEPARTMENT OF LABOR 

Employment Standards Administration 

Proposed Extension of the Approval of 

Information Collection Requirements 

ACTION: Notice. 

SUMMARY: The Department of Labor, as 

part of its continuing effort to reduce 

paperwork and respondent burden, 

conducts a preclearance consultation 

program to provide the general public 

and Federal agencies with an 

opportunity to comment on proposed 

and/or continuing collections of 

information in accordance with the 

Paperwork Reduction Act of 1995 

(PRA95) [44 U.S.C. 3506(c)(2)(A)]. This 

program 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 

Employment Standards Administration 

is soliciting comments concerning its 

proposal to extend the Office of 

Management and Budget (OMB) 

approval of the Information Collection: 

Provider Enrollment Form (OWCP– 

29722 Federal Register / Vol. 74, No. 119 / Tuesday, June 23, 2009 / Notices 

1168). A copy of the proposed 

information collection request can be 

obtained by contacting the office listed 

below in the ADDRESSES section of this 

Notice. 

DATES: Written comments must be 

submitted to the office listed in the 

ADDRESSES section below on or before 

August 24, 2009. 

ADDRESSES: Mr. Steven D. Lawrence, 

U.S. Department of Labor, 200 

Constitution Ave., NW., Room S–3201, 

Washington, DC 20210, telephone (202) 

693–0292, fax (202) 693–1451, e-mail 

Lawrence.Steven@dol.gov. Please use 

only one method of transmission for 

comments (mail, fax, or e-mail). 

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 et seq., the Black 

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

et seq., and the Energy Employees 

Occupational Illness Compensation 

Program Act of 2000 (EEOICPA), 42 

U.S.C. 7384 et seq. These statutes 

require OWCP to pay for appropriate 

medical and vocational rehabilitation 

services provided to beneficiaries. In 

order for OWCP’s billing contractor to 

pay providers of these services with its 

automated bill processing system, 

providers must ‘‘enroll’’ with one or 

more of the OWCP programs that 

administer the statutes by submitting 

certain profile information, including 

identifying information, tax I.D. 

information, and whether they possess 

specialty or sub-specialty training. Form 

OWCP–1168 is used to obtain this 

information from each provider. 

If this information is not obtained 

before the provider submits his or her 

first bill for payment, the bill payment 

process is substantially prolonged and 

increases the burden on providers. This 

information collection is currently 

approved for use through January 31, 

2010. 

II. Review Focus 

The Department of Labor is 

particularly interested in comments 

which: 

* 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 submissions 

of responses. 

III. Current Actions 

The Department of Labor seeks the 

approval of the extension of this 

information collection in order to carry 

out a wide range of automated bill 

‘‘edits’’, such as the identification of 

duplicate billings, the application of 

pertinent fee schedules, utilization 

review, and fraud and abuse detection. 

The profile information is also used to 

furnish detailed reports to providers on 

the status of previously submitted bills. 

Type of Review: Extension. 

Agency: Employment Standards 

Administration. 

Title: Provider Enrollment Form 

(OWCP–1168). 

OMB Number: 1215–0137. 

Agency Numbers: OWCP–1168. 

Affected Public: Business or other forprofit. 

Total Respondents: 70,185. 

Total Annual Responses: 70,185. 

Estimated Total Burden Hours: 9,335. 

Estimated Time per Response: 8 

minutes. 

Frequency: On occasion. 

Total Burden Cost (Capital/Startup): 

$0. 

Total Burden Cost (Operating/ 

Maintenance): $32,987. 

Comments submitted in response to 

this notice will be summarized and/or 

included in the request for Office of 

Management and Budget approval of the 

information collection request; they will 

also become a matter of public record. 

Dated: June 18, 2009. 

Steven D. Lawrence, 

Acting Chief, Branch of Management Review 

and Internal Control, Division of Financial 

Management, Office of Management, 

Administration and Planning, Employment 

Standards Administration. 

[FR Doc. E9–14666 Filed 6–22–09; 8:45 am] 

BILLING CODE 4510–CH–P 

DEPARTMENT OF LABOR 

Office of Workers’ Compensation 

Programs 

Energy Employees Occupational 

Illness Compensation Program Act of 

2000, as amended 

AGENCY: Office of Workers’ 

Compensation Programs, Employment 

Standards Administration, Labor. 

ACTION: Notice of revision of listing of 

covered Department of Energy facilities. 

SUMMARY: The Office of Workers’ 

Compensation Programs (OWCP) is 

publishing a list of Department of 

Energy (DOE) facilities covered under 

the Energy Employees Occupational 

Illness Compensation Program Act of 

2000, as amended (EEOICPA). This 

notice revises the listing of DOE 

facilities that was included as part of the 

list of covered facilities last published 

by DOE on August 23, 2004 (69 FR 

51825) to include the determinations 

made by OWCP on this subject through 

June 23, 2009. 

FOR FURTHER INFORMATION CONTACT: 

Shelby Hallmark, Director, Office of 

Workers’ Compensation Programs, 

Employment Standards Administration, 

U.S. Department of Labor, Room S– 

3524, 200 Constitution Avenue, NW., 

Washington, DC 20210. Telephone: 

202–693–0031 (this is not a toll-free 

number). 

ADDRESSES: OWCP welcomes comments 

regarding this list. Individuals who wish 

to suggest changes to this list may 

provide information to OWCP at the 

following address: Division of Energy 

Employees Occupational Illness 

Compensation, Office of Workers’ 

Compensation Programs, Employment 

Standards Administration, U.S. 

Department of Labor, Room C–3321, 200 

Constitution Avenue, NW., Washington, 

DC 20210. You may also suggest 

changes to this list by e-mail at DEEOICPublic@dol.gov. You should include 

‘‘DOE facilities list’’ in the subject line 

of any e-mail containing comments on 

this list. 

SUPPLEMENTARY INFORMATION: 

I. Background 

The Energy Employees Occupational 

Illness Compensation Program Act of 

2000, as amended (42 U.S.C. 7384 et 

seq.), was originally enacted on October 

30, 2000. Primary responsibility for 

administration of EEOICPA was 

assigned to the Department of Labor 

(DOL) by Executive Order 13179 

(‘‘Providing Compensation to America’s 

Nuclear Weapons Workers’’) of 

December 7, 2000 (65 FR 77487). In