[Federal Register Volume 78, Number 129 (Friday, July 5, 2013)]
[Notices]
[Page 40513]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-16140]



[[Page 40513]]

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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: Notice of Law Enforcement 
Officer's Injury or Occupational Disease (CA-721) and Notice of Law 
Enforcement Officer's Death (CA-722). 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 September 3, 2013.

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) 693-1447, Email [email protected]. 
Please use only one method of transmission for comments (mail, fax, or 
Email).

SUPPLEMENTARY INFORMATION:

I. Background

    The Federal Employees' Compensation Act (FECA) provides, under 5 
U.S.C. 8191, et seq. and 20 CFR 10.735, that non-Federal law 
enforcement officers injured or killed under certain circumstances are 
entitled to the benefits of the Act, to the same extent as if they were 
employees of the Federal Government. The CA-721 and CA-722 are used by 
non-Federal law enforcement officers and their survivors to claim 
compensation under the FECA. Form CA-721 is used for claims for injury. 
Form CA-722 is used for claims for death. This information collection 
is currently approved for use through August 31, 2013.

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 the extension of approval to collect 
this information to determine eligibility for benefits.
    Type of Review: Extension
    Agency: Office of Workers' Compensation Programs
    Title: Notice of Law Enforcement Officer's Injury or Occupational 
Disease (CA-721), Notice of Law Enforcement Officer's Death (CA-722).
    OMB Number: 1240-0022
    Agency Number: CA-721 and CA-722
    Affected Public: Individuals or households; business or other for-
profit; State, Local or Tribal Government.
    Total Respondents: 10
    Total Annual Responses: 10
    Average Time per Response: 60-90 minutes
    Estimated Total Burden Hours: 14
    Frequency: On occasion
    Total Burden Cost (capital/startup): $0
    Total Burden Cost (operating/maintenance): $5
    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: June 27, 2013.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2013-16140 Filed 7-3-13; 8:45 am]
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