[Federal Register Volume 62, Number 213 (Tuesday, November 4, 1997)]
[Notices]
[Pages 59739-59740]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-29163]


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DEPARTMENT OF LABOR

Employment Standards Administration


Proposed 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 preclearance 
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 Employment Standards Administration is soliciting 
comments concerning the information collection: Request from Claimant 
for Information on Earnings, Dual Benefits, Dependents, and Third Party 
Settlements, Form CA-1032. Copies of the proposed information 
collection requests can be obtained by contacting the office listed 
below in the addressee section of this notice.

DATES: Written comments must be submitted to the office listed in the

[[Page 59740]]

addresses section below on or before January 5, 1998. 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 response.

ADDRESSES: Contact Ms. Margaret Sherrill at the U. S. Department of 
Labor, 200 Constitution Avenue, N.W., Room S-3201, Washington, D.C. 
20210, telephone (202) 219-7601. The Fax number is (202) 219-6592. 
(These are not toll-free numbers.)

SUPPLEMENTARY INFORMATION:

I. Background

    The Federal Employees' Compensation Act (FECA) provides for the 
collection of information from claimants, receiving continuing 
compensation on the periodic disability rolls. The FECA states the 
following: Compensation must be adjusted to reflect a claimant's 
earning while in receipt of benefits (5 U.S.C. 8106); Compensation is 
payable at the augmented rate of 75 percent only if the claimant has 
one or more dependents (5 U.S.C. 8110); Compensation may not be paid 
concurrently with certain benefits from other Federal agencies, e.g., 
Social Security (5 U.S.C. 8116); and, 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). 
Completion of Form CA-1032 is requested annually and is used to ensure 
that compensation being paid on the periodic roll is correct.

II. Current Actions

    The Department of labor (DOL) seeks extension of approval to 
collect this information in order to carry out its responsibility to 
meet the statutory requirements of FECA to obtain information for 
determining claimants' entitlement to ongoing compensation. The 
information on Form CA-1032 enables the Director, Office of Worker's 
Compensation Programs to ensure that the correct compensation is being 
paid to claimants on the periodic roll.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Request from Claimant for Information on Earnings, Dual 
Benefits, Dependents, and Third Party Settlements.
    OMB Number: 1215-0151.
    Agency Numbers: CA-1032.
    Affected Public: Individuals or households.
    Total Respondents: 50,000.
    Frequency: Annually.
    Total Responses: 50,000.
    Average Time Per Response for Reporting: 20 minutes.
    Estimated Total Burden Hours: 16,667.
    Total Burden Cost (capital/startup): 0.
    Total Burden Cost (Operating/maintenance): 95,163.
    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: October 28, 1997.
Cecily A. Rayburn,
Director, Division of Financial Management, Office of Management, 
Administration and Planning, Employment Standards Administration.
[FR Doc. 97-29163 Filed 11-3-97; 8:45 am]
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