Notice2026-09835
Proposed Revision of Information Collection: Request for Information on Earnings, Dual Benefits, Dependents and Third Party Settlement
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
May 18, 2026
Issuing agencies
Labor DepartmentWorkers' Compensation Programs Office
Abstract
The Department of Labor (DOL)is soliciting comments concerning a proposed revision for the authority to conduct the information collection request (ICR) titled "Request for Information on Earnings, Dual Benefits, Dependents and Third Party Settlement". 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 91 Issue 95 (Monday, May 18, 2026)</title>
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[Federal Register Volume 91, Number 95 (Monday, May 18, 2026)]
[Notices]
[Pages 28621-28622]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09835]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
[OMB Control No. 1240-0016].
Proposed Revision of Information Collection: Request for
Information on Earnings, Dual Benefits, Dependents and Third Party
Settlement
AGENCY: Office of Workers' Compensation Programs, Labor.
ACTION: Request for public comments.
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SUMMARY: The Department of Labor (DOL)is soliciting comments concerning
a proposed revision for the authority to conduct the information
collection request (ICR) titled ``Request for Information on Earnings,
Dual Benefits, Dependents and Third Party Settlement''. 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: All comments must be received on or before [July 17, 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-2026-0331.
Comments submitted electronically, 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, Division of
Federal Employees' Compensation, 200 Constitution Ave. NW, Room S-3323,
Washington, DC 20210.
<bullet> OWCP 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, at <a href="/cdn-cgi/l/email-protection#7f0c0a18180c511e11151e111a0b0b1a3f1b101351181009"><span class="__cf_email__" data-cfemail="5d2e283a3a2e733c33373c33382929381d393231733a322b">[email protected]</span></a>@dol.gov (email);
(202) 354-9660 (phone).
SUPPLEMENTARY INFORMATION:
[[Page 28622]]
I. Background
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 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. The Office of Workers' Compensation Programs (OWCP) sends
this form out each year to every claimant on the disability roll. This
information is necessary because the Federal Employees' Compensation
Act (FECA) states:
(1) Compensation must be adjusted to reflect a claimant's earnings
while in receipt of benefits (5 U.S.C. 8106).
(2) Compensation is payable at the augmented rate of 75 percent
only if the claimant has one or more dependents as defined by the FECA
(5 U.S.C. 8110).
(3) Compensation may not be paid concurrently with certain benefits
from other Federal Agencies, such as the Office of Personnel
Management, Social Security, and the Veterans Administration (5 U.S.C.
8116). At times, benefits may be reduced.
(4) Compensation must be adjusted to reflect any settlement from a
third party responsible for the injury for which the claimant is being
paid compensation (5 U.S.C. 8132).
(5) An individual convicted of any violation related to fraud in
the application for, or receipt of, any compensation benefit, forfeits
(as of the date of such conviction) any entitlement to such benefits,
for any injury occurring on or before the date of conviction (5 U.S.C.
8148 (a)).
(6) No Federal compensation benefit can be paid to any individual
for any period during which such individual is incarcerated for any
felony conviction (5 U.S.C. 8148 (b)(1)).
In accordance with 20 CFR 10.528, OWCP periodically requires each
employee who is receiving compensation benefits to complete an
affidavit as to any work, or activity indicating an ability to work,
which the employee has performed for the prior 15 months. If an
employee, who is required to file such a report fails to do so within
30 days of the date of the request, his or her right to compensation
for wage loss under 5 U.S.C. 8105 or 8106 is suspended until OWCP
receives the requested report. At that time, OWCP will reinstate
compensation retroactive to the date of suspension if the employee
remains entitled to compensation.
See: <a href="https://www.dol.gov/owcp/dfec/regs/statutes/feca.htm">https://www.dol.gov/owcp/dfec/regs/statutes/feca.htm</a>
II. Desired Focus of Comments
OWCP is soliciting comments concerning the proposed information
collection related to the Request for Information on Earnings, Dual
Benefits, Dependents and Third Party Settlement. OWCP 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 located at 200
Constitution Avenue 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 section of this notice.
III. Current Actions
This information collection request concerns the Request for
Information on Earnings, Dual Benefits, Dependents and Third Party
Settlement, Form CA-1032. OWCP 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: Revision of a currently approved collection.
Agency: Office of Workers' Compensation Programs.
OMB Number: 1240-0016.
Affected Public: Individuals or Households.
Number of Respondents:42,219.
Number of Responses: 42,219.
Annual Burden Hours: 14,059.
Annual Respondent or Recordkeeper Cost: $24,179.00.
OWCP Forms: Request for Information on Earnings, Dual Benefits,
Dependents and Third Party Settlement.
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. 2026-09835 Filed 5-15-26; 8:45 am]
BILLING CODE 4510-CH-P
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