[Federal Register Volume 76, Number 85 (Tuesday, May 3, 2011)]
[Notices]
[Pages 24913-24914]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-10686]


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

DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Claim for Continuance of Compensation

ACTION: Notice.

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

SUMMARY: The Department of Labor (DOL) is submitting the revised Office 
of Workers' Compensation Programs (OWCP) sponsored information 
collection request (ICR) titled, ``Claim for Continuance of 
Compensation,'' Form CA-12, 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 2, 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 (OWCP), 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: 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 Claim for Continuance of Compensation, 
Form CA-12, is used to obtain information from eligible survivors 
receiving death benefits for an extended period of time. This 
information is necessary to ensure that compensation being paid is 
accurate. While the DOL has revised the form to collect a beneficiary's 
Social Security Number and to make a few formatting changes that 
require identifying 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 1240-0015. 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 December 29, 2010 (75 FR 82075).
    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 help ensure appropriate 
consideration, comments should reference OMB Control Number 1240-0015. 
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

[[Page 24914]]

     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: Claim for Continuance of Compensation.
    OMB Control Number: 1240-0015.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 4570.
    Total Estimated Number of Responses: 4570.
    Total Estimated Annual Burden Hours: 379.
    Total Estimated Annual Costs Burden: $2011.

    Dated: April 27, 2011.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2011-10686 Filed 5-2-11; 8:45 am]
BILLING CODE 4510-CH-P