[Federal Register Volume 75, Number 49 (Monday, March 15, 2010)]
[Notices]
[Pages 12270-12271]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-5561]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Federal Employees' Compensation; 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 Office of Workers' Compensation Programs is soliciting 
comments concerning the proposed collection: Notice of Law Enforcement 
Officer's Injury or Occupational Disease (CA-721) and Notice of Law 
Enforcement Officer's Death (CA-722). 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 May 14, 2010.

[[Page 12271]]


ADDRESSES: Mr. Vincent Alvarez, U.S. Department of Labor, 200 
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone 
(202) 693-0372, fax (202) 693-1378, E-mail [email protected]. 
Please use only one method of transmission for comments (mail, fax, or 
E-mail).

SUPPLEMENTARY INFORMATION:
    I. Background: The Federal Employees' Compensation Act (FECA) 
provides, under 5 U.S.C. 8191, et.seq. and 20 CFR 10.735, that non-
Federal law enforcement officers injured or killed under certain 
circumstances are entitled to the benefits of the Act, to the same 
extent as if they were employees of the Federal Government. The CA-721 
and CA-722 are used by non-Federal law enforcement officers and their 
survivors to claim compensation under the FECA. Form CA-721 is used for 
claims for injury. Form CA-722 is used for claims for death. This 
information collection is currently approved for use through August 31, 
2010.
    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 to collect this information to determine eligibility for 
benefits.
    Type of Review: Revision.
    Agency: Office of Workers' Compensation Programs.
    Title: Notice of Law Enforcement Officer's Injury or Occupational 
Disease (CA-721), Notice of Law Enforcement Officer's Death (CA-722).
    OMB Number: 1240-0116.
    Agency Number: CA-721 and CA-722.
    Affected Public: Individuals or Households; Business or other for-
profit; State, Local or Tribal Government.
    Total Respondents: 13.
    Total Annual Responses: 13.
    Average Time per Response: 60-90 minutes.
    Estimated Total Burden Hours: 17.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $6.
    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: March 10, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2010-5561 Filed 3-12-10; 8:45 am]
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