[Federal Register Volume 75, Number 200 (Monday, October 18, 2010)]
[Notices]
[Pages 63863-63864]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-26105]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Federal Employees' Compensation; Proposed Extension 
of Existing 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: Request for Information on 
Earnings, Dual Benefits, Dependents and Third Party Settlement (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 December 17, 2010.

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 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. 8146(a)); (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, 2011.
    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 extension of 
approval to collect this information collection in order to ensure that 
compensation being paid on the periodic roll is correct.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.

[[Page 63864]]

    Title: Request for Information on Earnings, Dual Benefits, 
Dependents and Third Party Settlement
    OMB Number: 1240-0016.
    Agency Number: CA-1032.
    Affected Public: Individuals or household.
    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): $23,500.
    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 12, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2010-26105 Filed 10-15-10; 8:45 am]
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