[Federal Register Volume 69, Number 178 (Wednesday, September 15, 2004)]
[Notices]
[Pages 55653-55654]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-20711]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF LABOR

Employment Standards Administration


Proposed Collection; Comment Request

ACTION: Notice.

-----------------------------------------------------------------------

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

[[Page 55654]]

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 proposed collection: Request for Information on 
Earnings, Dual Benefits, Dependents and Third Party Settlements (CA-
1032). A copy of the proposed information collection request can be 
obtained by contacting the office listed below in the addresses section 
of this Notice.

DATES: Written comments must be submitted to the office listed in the 
addresses section below on or before November 15, 2004.

ADDRESSES: Ms. Hazel M. Bell, U.S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, D.C. 20210, telephone 
(202) 693-0418, fax (202) 693-1451, E-mail [email protected]. Please 
use only one method of transmission for comments (mail, fax, or E-
mail).

SUPPLEMENTARY INFORMATION:

I. Background

    The collection of this information is necessary under provisions of 
the Federal Employees' Compensation Act (FECA) which 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); (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)); and, (6) no Federal compensation benefit can be 
paid to any individual for any period during which such individual is 
incarcerated for any felony offense (5 U.S.C. 8148(b)(1)). The 
information collected through Form CA-1032 is used to ensure that 
compensation being paid on the periodic roll is correct. This 
information collection is currently approved for use through February 
28, 2005.

II. Review Focus

    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 responses.

III. Current Actions

    The Department of Labor seeks the extension of approval of this 
information collection in order to ensure that compensation being paid 
on the periodic roll is correct.
    Type of Review: Extension.
    Agency: Employment Standards Administration.
    Title: Request for Information on Earnings, Dual Benefits, 
Dependents, and Third Party Settlements.
    OMB Number: 1215-0151.
    Agency Number: CA-1032.
    Affected Public: Individuals or households.
    Total Respondents: 50,000.
    Total Annual Responses: 50,000.
    Average Time per Response: 20 minutes.
    Estimated Total Burden Hours: 16,667.
    Frequency: Annually.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $20,000.
    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: September 9, 2004.
Bruce Bohanon,
Chief, Branch of Management Review and Internal Control, Division of 
Financial Management, Office of Management, Administration and 
Planning, Employment Standards Administration.
[FR Doc. 04-20711 Filed 9-14-04; 8:45 am]
BILLING CODE 4510-CH-P