Notice2021-11815
Agency Information Collection Activities; Comment Request; Request for Information on Earnings, Dual Benefits, Dependents and Third Party Settlement, CA-1032
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
June 7, 2021
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor (DOL) is soliciting comments concerning a revision for the authority to conduct the information collection request (ICR) titled, "[Request for Information on Earnings, Dual Benefits, Dependents and Third Party Settlement, CA- 1032]." This comment request is part of continuing Departmental efforts to reduce paperwork and respondent burden in accordance with the Paperwork Reduction Act of 1995 (PRA).
Full Text
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<title>Federal Register, Volume 86 Issue 107 (Monday, June 7, 2021)</title>
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[Federal Register Volume 86, Number 107 (Monday, June 7, 2021)]
[Notices]
[Page 30335]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2021-11815]
[[Page 30335]]
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DEPARTMENT OF LABOR
Office of the Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Request for Information on Earnings, Dual Benefits, Dependents and
Third Party Settlement, CA-1032
AGENCY: Division of Federal Employees', Longshore and Harbor Workers'
Compensation--FECA, Office of the Workers' Compensation Programs,
Department of Labor.
ACTION: Notice.
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SUMMARY: The Department of Labor (DOL) is soliciting comments
concerning a revision for the authority to conduct the information
collection request (ICR) titled, ``[Request for Information on
Earnings, Dual Benefits, Dependents and Third Party Settlement, CA-
1032].'' This comment request is part of continuing Departmental
efforts to reduce paperwork and respondent burden in accordance with
the Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
August 6, 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 202-354-9660 or by email at
<a href="/cdn-cgi/l/email-protection#c7b4b2a0a0b4e9a6a9ada6a9a2b3b3a287a3a8abe9a0a8b1"><span class="__cf_email__" data-cfemail="790a0c1e1e0a5718171318171c0d0d1c391d1615571e160f">[email protected]</span></a>.
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 S3323, and 200 Constitution Avenue NW,
Washington, DC 20210; by email: <a href="/cdn-cgi/l/email-protection#5221273535217c333c38333c3726263712363d3e7c353d24"><span class="__cf_email__" data-cfemail="0172746666722f606f6b606f6475756441656e6d2f666e77">[email protected]</span></a>.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs by telephone at 202-
354-9660 or by email at <a href="/cdn-cgi/l/email-protection#2f5c5a48485c014e41454e414a5b5b4a6f4b404301484059"><span class="__cf_email__" data-cfemail="5023253737237e313e3a313e3524243510343f3c7e373f26">[email protected]</span></a>.
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.
The OWCP uses this collection to obtain information from a Federal
Employees' Compensation Act (FECA) claimant receiving workers'
compensation benefits over an extended period. The OWCP uses the
response to determine whether the claimant is entitled to continue
receiving benefits and whether the benefit amount should be adjusted.
The collection is necessary to help verify that the beneficiary
receives the correct compensation. Information requested on the CA-1032
is obtained from each claimant receiving continuing compensation on the
periodic disability roll. The form requests information on the
claimant's earnings, dependents, third party settlements, and other
Federal benefits received. Questions in the form in Part D (2) Other
Benefits or Payments pertaining to Social Security Benefits were
slightly revised for better clarity for the respondent.
The FECA authorizes this information collection. See 5 U.S.C. 8124
and 8149. 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 the OMB under the PRA approves it and displays a
currently valid OMB Control Number. The current information collection
expires November 30, 2023. 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.
Interested parties are encouraged to provide comments to the
contact shown in the ADDRESSES section. Written comments will receive
consideration, and be summarized and included in the request for OMB
approval of the final ICR. In order to help ensure appropriate
consideration, comments should mention [1240-0016].
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:
<bullet> 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.
<bullet> 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.
<bullet> Enhance the quality, utility, and clarity of the
information to be collected; and
<bullet> 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--Office of Workers' Compensation Programs.
Type of Review: [Revision].
Title of Collection: [Request for Information on Earnings, Dual
Benefits, Dependents and Third Party Settlement].
Form: [CA-1032].
OMB Control Number: [1240-0016].
Affected Public: [Individual or Household].
Estimated Number of Respondents: [37,056].
Frequency: [Annually].
Total Estimated Annual Responses: [37,056].
Estimated Average Time per Response: [20 minutes].
Estimated Total Annual Burden Hours: [12,352] hours.
Total Estimated Annual Other Cost Burden: $[294,472]
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021-11815 Filed 6-4-21; 8:45 am]
BILLING CODE 4510-CH-P
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