[Federal Register Volume 76, Number 84 (Monday, May 2, 2011)]
[Notices]
[Pages 24533-24534]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10525]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Notice of Recurrence

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the revised Office 
of Workers' Compensation Programs sponsored information collection

[[Page 24534]]

request (ICR) titled, ``Notice of Recurrence,'' to the Office of 
Management and Budget (OMB) for review and approval for use in 
accordance with the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 
U.S.C. chapter 35).

DATES: Submit comments on or before June 1, 2011.

ADDRESSES: A copy of this ICR, with applicable supporting 
documentation; including a description of the likely respondents, 
proposed frequency of response, and estimated total burden may be 
obtained from the RegInfo.gov Web site, http://www.reginfo.gov/public/do/PRAMain, on the day following publication of this notice or by 
contacting Michel Smyth by telephone at 202-693-4129 (this is not a 
toll-free number) or sending an e-mail to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for the Department of Labor, 
Office of Workers' Compensation Programs, Office of Management and 
Budget, Room 10235, Washington, DC 20503, Telephone: 202-395-6929/Fax: 
202-395-6881 (these are not toll-free numbers), e-mail: [email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by e-mail at [email protected].

SUPPLEMENTARY INFORMATION: The Notice of Recurrence, Form CA-2a, is 
used to claim wage loss or medical treatment resulting from a 
recurrence of a work-related injury while Federally employed. The 
information is necessary to ensure the accurate payment of benefits. 
While the DOL has revised the form to enhance the Privacy Act Statement 
and make a few formatting changes, requiring the DOL to identify this 
submission as a revision, those changes are not expected materially to 
affect the public burden in responding to this information collection.
    This information collection is subject to the PRA. A Federal agency 
generally cannot conduct or sponsor a collection of information, and 
the public is generally not required to respond to an information 
collection, unless it is approved by the OMB under the PRA and displays 
a currently valid OMB Control Number. In addition, notwithstanding any 
other provisions of law, no person shall generally be subject to 
penalty for failing to comply with a collection of information if the 
collection of information does not display a valid OMB control number. 
See 5 CFR 1320.5(a) and 1320.6. The DOL obtains OMB approval for this 
information collection under OMB Control Number 1240-0009. The current 
OMB approval is scheduled to expire on May 31, 2011; however, it should 
be noted that information collections submitted to the OMB receive a 
month-to-month extension while they undergo review. For additional 
information, see the related notice published in the Federal Register 
on February 23, 2011 (76 FR 10071).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within 30 days of publication of this notice in 
the Federal Register. In order to ensure appropriate consideration, 
comments should reference OMB Control Number 1240-0009. The OMB is 
particularly interested in comments that:
     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 submission of responses.
    Agency: Office of Workers' Compensation Programs (OWCP).
    Title of Collection: Notice of Recurrence.
    OMB Control Number: 1240-0009.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 314.
    Total Estimated Number of Responses: 314.
    Total Estimated Annual Burden Hours: 157.
    Total Estimated Annual Costs Burden: $148.

    Dated: April 26, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011-10525 Filed 4-29-11; 8:45 am]
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