[Federal Register Volume 77, Number 92 (Friday, May 11, 2012)]
[Notices]
[Pages 27796-27797]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-11376]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Statement of Recovery Forms

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of RUN 
FRFMWorkers' Compensation Programs (OWCP) sponsored information 
collection request (ICR) revision titled, ``Statement of Recovery 
Forms,'' to the Office of Management and Budget (OMB) for review and 
approval for use in accordance with the Paperwork Reduction Act (PRA) 
of 1995 (44 U.S.C. 3501 et seq.).

DATES: Submit comments on or before June 11, 2012.

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 email to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for DOL-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), 
email: [email protected].

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

SUPPLEMENTARY INFORMATION: The statement of recovery forms (Forms CA-
1108 and CA-1122) are used to obtain information about amounts received 
as the result of final judgments in litigation, or a settlement of the 
litigation, brought against a third party who is liable for damages due 
to a Federal employee comprehensive work-related injury. A Federal 
employee can sustain a work-related injury, for which he or she is 
eligible for compensation under the Federal Employees' Compensation Act 
(FECA), under circumstances that create a legal liability for some 
third party to pay damages for the same injury. When this occurs, the 
FECA authorizes the Secretary of Labor either to require the employee 
to assign his or her right of action to the United States or to 
prosecute the action. See 5 U.S.C. 8131. When the employee receives a 
judgment or a settlement of the action, he or she must reimburse the 
United States for past compensation payments and if there is a surplus 
future compensation payments as the FECA provides that the employee 
must refund to the United States the amount of compensation paid by the 
United States and credit any surplus on future payments of 
compensation. See 5 U.S.C. 8132. The OWCP is revising this ICR by 
reformatting the forms. The changes are not expected to affect public 
burden.
    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 1240-0001. The current 
OMB approval is scheduled to expire on June 30, 2012; however, it 
should be noted that existing information collection requirements 
submitted to the OMB receive a month-to-month extension while they 
undergo review. Any changes will only take effect after OMB approval. 
For additional information, see the related notice published in the 
Federal Register on February 9, 2012 (77 FR 6823).
    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-

[[Page 27797]]

0001. 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: DOL-OWCP.
    Title of Collection: Statement of Recovery Forms.
    OMB Control Number: 1240-0001.
    Affected Public: Individuals or Households, and Private Sector--
Businesses or Other for Profits.
    Total Estimated Number of Respondents: 2,832.
    Total Estimated Number of Responses: 2,832.
    Total Estimated Annual Burden Hours: 1,346.
    Total Estimated Annual Other Costs Burden: $1,360.

    Dated: May 7, 2012.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2012-11376 Filed 5-10-12; 8:45 a.m.]
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