[Federal Register Volume 75, Number 249 (Wednesday, December 29, 2010)]
[Notices]
[Page 82075]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-32742]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Division of Federal Employees' Compensation; Proposed Extension 
of the Approval of Information Collection Requirements

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: Claim for Continuance of 
Compensation (CA-12). 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 February 28, 2011.

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 Office of Workers' Compensation Programs 
administers the Federal Employees' Compensation Act, 5 U.S.C. 8133. 
Under the Act, eligible dependents of deceased employees receive 
compensation benefits on account of the employee's death. OWCP has to 
monitor death benefits for current marital status, potential for dual 
benefits, and other criteria for qualifying as a dependent under the 
law. The CA-12 is sent annually to beneficiaries in death cases to 
ensure that their status has not changed and that they remain entitled 
to benefits. The information collected is used by OWCP claims examiners 
to ensure that death benefits being paid are correct, and that payments 
are not made to ineligible survivors. This information collection is 
currently approved for use through May 31, 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 
death benefits being paid are correct.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Claim for Continuance of Compensation.
    OMB Number: 1240-0015.
    Agency Number: CA-12.
    Affected Public: Individuals or households.
    Total Respondents: 4,570.
    Total Annual Responses: 4,570.
    Average Time per Response: 5 minutes.
    Estimated Total Burden Hours: 379.
    Frequency: Annually.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $2,011.
    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: December 22, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2010-32742 Filed 12-28-10; 8:45 am]
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