Notice2026-05498
Proposed Extension of Information Collection; FECA Medical Report Forms, Claim for Compensation
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
March 20, 2026
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
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, Division of Federal Employees' Compensation, (OWCP/DFEC) is soliciting comments on the information collection for the FECA Medical Report Forms, Claim for Compensation, OWCP Forms: CA-7, CA-16, CA-17, CA-20, CA-1332, CA-1090, CA-1305, CA-1331/ CA-1087, & OWCP-5s.
Full Text
<html>
<head>
<title>Federal Register, Volume 91 Issue 54 (Friday, March 20, 2026)</title>
</head>
<body><pre>
[Federal Register Volume 91, Number 54 (Friday, March 20, 2026)]
[Notices]
[Pages 13637-13638]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-05498]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
[OMB Control No. 1240-0046]
Proposed Extension of Information Collection; FECA Medical Report
Forms, Claim for Compensation
AGENCY: Office of Workers' Compensation Programs, Division of Federal
Employees' Compensation, (OWCP/DFEC) 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, Division of
Federal Employees' Compensation, (OWCP/DFEC) is soliciting comments on
the information collection for the FECA Medical Report Forms, Claim for
Compensation, OWCP
[[Page 13638]]
Forms: CA-7, CA-16, CA-17, CA-20, CA-1332, CA-1090, CA-1305, CA-1331/
CA-1087, & OWCP-5s.
DATES: All comments must be received on or before May 19, 2026.
ADDRESSES: You may submit comment as follows. Please note that late,
untimely filed comments will not be considered.
Electronic Submissions: Submit electronic comments in the following
way:
<bullet> Federal eRulemaking Portal: <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
Follow the instructions for submitting comments for WCPO-2026-0100,
including attachments, to <a href="https://www.regulations.gov">https://www.regulations.gov</a> will be posted to
the docket, with no changes. Because your comment will be made public,
you are responsible for ensuring that your comment does not include any
confidential information that you or a third party may not wish to be
posted, such as your or anyone else's Social Security number or
confidential business information.
<bullet> If your comment includes confidential information that you
do not wish to be made available to the public, submit the comment as a
written/paper submission.
Written/Paper Submissions: Submit written/paper submissions in the
following way:
<bullet> Mail/Hand Delivery: Mail or visit DOL-OWCP/DFEC, Office of
Workers' Compensation Programs, Division of Federal Employees'
Compensation, U.S. Department of Labor, 200 Constitution Ave. NW, Room
S-3323, Washington, DC 20210.
<bullet> OWCP/DFEC will post your comment as well as any
attachments, except for information submitted and marked as
confidential, in the docket at <a href="https://www.regulations.gov">https://www.regulations.gov</a>.
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers'
Compensation Programs, Division of Federal Employees' Longshore, and
Harbor Workers' Compensation, OWCP/DFELHWC, at
<a href="/cdn-cgi/l/email-protection#2b585e4c4c58054a45414a454e5f5f4e6b4f4447054c445d"><span class="__cf_email__" data-cfemail="2350564444500d424d49424d4657574663474c4f0d444c55">[email protected]</span></a>@dol.gov (email); (202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Worker's Compensation Programs (OWCP) administers the
Federal Employees' Compensation Act (FECA), which provides for
continuation of pay or compensation for work related injuries or
disease from federal employment. 5 U.S.C. 8149, Congress gives the
Secretary of Labor authority to prescribe the rules and regulations
necessary for the administration and enforcement of the FECA.The
relevant statutory provision allowing for an individual to make a claim
for compensation benefits is found at 5 U.S.C. 8102, Compensation for
disability or death of employee.
The information collected by these forms is used by claims
examiners for OWCP to determine eligibility for and the computation of
benefits. The claim forms, with the medical evidence, are used to
determine whether or not the claimant is entitled to compensation for
disability for work or permanent impairment of a scheduled member; the
appropriate period, rate of pay, compensation rate, any concurrent
employment or dual benefits, and third party credit. The OWCP-5 forms
are also used by rehabilitation specialists and nurses to assist
partially disabled employees to return to suitable employment. Without
the requested information, entitlements to an eligible beneficiary
could be denied or delayed, or benefits could be authorized at an
incorrect rate, resulting in an underpayment or overpayment of
compensation.
See: <a href="https://www.dol.gov/agencies/owcp/FECA/regs/statutes/feca">https://www.dol.gov/agencies/owcp/FECA/regs/statutes/feca</a>.
See: eCFR: 20 CFR part 10--Claims for Compensation Under the
Federal Employees' Compensation Act, as Amended.
II. Desired Focus of Comments
OWCP/DFEC is soliciting comments concerning the proposed
information collection related to the Request for Employment
Information. OWCP/DFEC is particularly interested in comments that:
<bullet> 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;
<bullet> Evaluate the accuracy of OWCP/DFEC's estimate of the
burden related to the information collection, including the validity of
the methodology and assumptions used in the estimate;
<bullet> Suggest methods to enhance the quality, utility, and
clarity of the information to be collected; and
<bullet> 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.
Documents related to this information collection request are
available at <a href="https://regulations.gov">https://regulations.gov</a> and at DOL-OWCP/DFEC located at
200 Constitution Ave. NW, Room S-3323, Washington, DC 20210. Questions
about the information collection requirements may be directed to the
person listed in the FOR FURTHER INFORMATION CONTACT section of this
notice.
III. Current Actions
This information collection request concerns the FECA Medical
Report Forms, Claim for Compensation, OWCP Forms: CA-7, CA-16, CA-17,
CA-20, CA-1332, CA-1090, CA-1305, CA-1331/CA-1087, & OWCP-5s. OWCP/DFEC
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: Extension, with change, of a currently approved
collection.
Agency: Office of Workers' Compensation Programs, Division of
Federal Employees' Compensation, OWCP/DFEC.
OMB Number: 1240-0046.
Affected Public: Private Sector--Business or other For-profits.
Number of Respondents: 279,100.
Frequency: On Occasion.
Number of Responses: 279,100.
Annual Burden Hours: 26,648.
Annual Respondent or Recordkeeper Cost: $173,740.
OWCP/DFEC 1240-0046: OWCP/DFEC FECA Medical Report Forms, Claim for
Compensation.
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 <a href="https://www.reginfo.gov">https://www.reginfo.gov</a>.
Anjanette Suggs,
Certifying Officer.
[FR Doc. 2026-05498 Filed 3-19-26; 8:45 am]
BILLING CODE 4510-CH-P
</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>Indexed from Federal Register on March 20, 2026.
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.