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Federal Register / Vol. 86, No. 25 / Tuesday, February 9, 2021 / Notices accordance with the Paperwork Reduction Act of 1995 PRA.
DATES: Consideration will be given to all written comments received by April 12, 2021.
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 by contacting Anjanette Suggs by telephone at 202
3549660 this is not toll-free number or by email at suggs.anjanette@dol.gov.
Submit written comments about, or requests for a copy of, this ICR by mail or courier to the U.S. Department of Labor, Office of Workers Compensation Programs, Room N1301, 200
Constitution Avenue NW, Washington, DC 20210; by email: suggs.anjanette@
dol.gov.
FOR FURTHER INFORMATION CONTACT:
Contact Anjanette Suggs by telephone at 202 3549660 this is not a toll-free number or by email at suggs.anjanette@
dol.gov.
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to reduce paperwork and respondent burden, conducts a pre-clearance consultation program to provide the general public and Federal agencies an opportunity to comment on proposed and/or continuing collections of information before submitting them to the OMB for final approval. This program helps to ensure 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 can be properly assessed.
Form OWCP915 is used to claim reimbursement for out-of-pocket covered medical expenses paid by a beneficiary, and must be accompanied by required billing data elements prepared by the medical provider and by proof of payment by the beneficiary.
Employees Compensation Act, 5 U.S.C.
8101, Black Lung Benefits Act, 30 U.S.C.
901, Energy Employees Occupational Illness Compensation Program Act of 2000, 42 U.S.C. 7384 authorize this information collection.
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
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to penalty for failing to comply with a collection of information that does not display a valid Control Number. See 5
CFR 1320.5a and 1320.6.
Interested parties are encouraged to provide comments to the contact shown in the ADDRESSES section. Comments must be written to receive consideration, and they will be summarized and included in the request for OMB approval of the final ICR. In order to help ensure appropriate consideration, comments should mention 12400007.
Submitted comments will also be a matter of public record for this ICR and posted on the internet, without redaction. The DOL encourages commenters not to include personally identifiable information, confidential business data, or other sensitive statements/information in any comments.
The DOL 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 agencys 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: DOLOWCP.
Type of Review: Extension Title of Collection: Claim for Medical Reimbursement Form.
Form: OWCP915.
OMB Control Number: 12400007.
Affected Public: Individuals or households.
Estimated Number of Respondents:
10,260.
Frequency: Annually.
Total Estimated Annual Responses:
34,564.
Estimated Average Time per Response: 10 minutes.
Estimated Total Annual Burden Hours: 5,738 hours.
Total Estimated Annual Other Cost Burden: $59,450.

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Authority: 44 U.S.C. 3506c2A.
Anjanette Suggs, Agency Clearance Officer.
FR Doc. 202102634 Filed 2821; 8:45 am BILLING CODE 4510CRP

LEGAL SERVICES CORPORATION
Pro Bono Innovation Fund Request for Pre-Applications for 2021 Grant Funding Legal Services Corporation.
Notice.

AGENCY:
ACTION:

The Legal Services Corporation LSC issues this Notice describing the conditions for submitting a Pre-Application for 2021 Pro Bono Innovation Fund grants.
DATES: Pre-Applications must be submitted by 11:59 p.m. EST on Monday, March 15, 2021.
ADDRESSES: Pre-Applications must be submitted electronically to http
lscgrants.lsc.gov.
FOR FURTHER INFORMATION CONTACT:
Mytrang Nguyen, Program Counsel, Office of Program Performance, Legal Services Corporation, 3333 K Street NW, Washington, DC 20007; 202 2951564
or nguyenm@lsc.gov.
SUPPLEMENTARY INFORMATION:
SUMMARY:

I. Introduction Since 2014, Congress has provided an annual appropriation to LSC for a Pro Bono Innovation Fund. See, e.g., Consolidated Appropriations Act, 2017, Public Law 11531, 131 Stat. 135
2017. LSC requested these funds for grants to develop, test, and replicate innovative pro bono efforts that can enable LSC grantees to expand clients access to high quality legal assistance.
LSC Budget Request, Fiscal Year 2014 at 26 2013. The grants must involve innovations that are either new ideas or new applications of existing best practices. Id. Each grant would either serve as a model for other legal services providers to follow or effectively replicate a prior innovation. Id. The Senate Appropriations Committee explained that these funds will support innovative projects that promote and enhance pro bono initiatives throughout the Nation, and the House Appropriations Committee directed LSC
to increase the involvement of private attorneys in the delivery of legal services to LSC-eligible clients.
Senate Report 114239 at 123 2016, House Report 113448 at 85 2014.
Since its inception, the Pro Bono Innovation Fund has advanced LSCs goal of increasing the quantity and
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