[Federal Register Volume 79, Number 152 (Thursday, August 7, 2014)]
[Notices]
[Page 46280]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-18684]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Proposed Renewal of Existing Collection; Comment Request
ACTION: Notice.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a pre-clearance
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 Office of Workers' Compensation Programs is soliciting
comments concerning the proposed collection: Certification of Medical
Necessity (CM-893). 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 October 6, 2014.
ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0701, fax (202) 693-1449, Email [email protected]. Please
use only one method of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
I. Background: The Office of Workers' Compensation Programs
administers the Federal Black Lung Workers' Compensation Program. The
enabling regulations of the Black Lung Benefits Act, at 20 CFR 725.701,
establishes miner eligibility for medical services and supplies for the
length of time required by the miner's condition and disability. 20
CFR.706 stipulates there must be prior approval before ordering an
apparatus where the purchase price exceeds $300.00. 20 CFR 725.707
provides for the ongoing supervision of the miner's medical care,
including the necessity, character and sufficiency of care to be
furnished; gives the authority to request medical reports and indicates
the right to refuse payment for failing to submit any reports required.
Because of the above legislation and regulations, it was necessary to
devise a form to collect the required information. The CM-893,
Certificate of Medical Necessity is completed by the coal miner's
doctor and is used by the Division of Coal Mine Worker's Compensation
to determine if the miner meets impairment standards to qualify for
durable medical equipment, home nursing, and/or pulmonary
rehabilitation. This information collection is currently approved for
use through December 30, 2014.
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
for the extension of this currently-approved information collection in
order to carry out its responsibility to determine the eligibility for
reimbursement of medical benefits to Black Lung recipients.
Agency: Office of Workers' Compensation Programs.
Type of Review: Extension.
Title: Certificate of Medical Necessity.
OMB Number: 1240-0024.
Agency Number: CM-893.
Affected Public: Individuals or households; Business or other for
profit, and Not-for-profit institutions.
Total Respondents: 2,500.
Total Annual Responses: 2,500.
Average Time per Response: 20 to 40 minutes.
Estimated Total Burden Hours: 965.
Frequency: On occasion.
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: July 31, 2014.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2014-18684 Filed 8-6-14; 8:45 am]
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