[Federal Register Volume 79, Number 61 (Monday, March 31, 2014)]
[Notices]
[Pages 18068-18069]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-07073]


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

DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Request for Information on Earnings, Dual 
Benefits, Dependents, and Third Party Settlements

ACTION: Notice.

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

SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Request for Information on Earnings, 
Dual Benefits, Dependents, and Third Party Settlements,'' 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.). The OMB and DOL invite public comments on the ICR.

DATES: The OMB will consider all written comments that agency receives 
on or before April 30, 2014.

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 free of charge 
from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201310-1240-001 (this link will only become active 
on the day following publication of this notice) or by contacting 
Michel Smyth by telephone at 202-693-4129, TTY 202-693-8064, (these are 
not toll-free numbers) or sending an email to [email protected].
    Submit comments about this request by mail or courier to the Office 
of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL-
OWCP, Office of Management and Budget, Room 10235, 725 17th Street NW., 
Washington, DC 20503; by Fax: 202-395-6881 (this is not a toll-free 
number); or by email: [email protected]. Commenters are 
encouraged, but not required, to send a courtesy copy of any comments 
by mail or courier to the U.S. Department of Labor--OASAM, Office of 
the Chief Information Officer, Attn: Departmental Information 
Compliance Management Program, Room N1301, 200 Constitution Avenue NW., 
Washington, DC 20210; or by email: [email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129, TTY 202-693-8064, (these are not toll-free numbers) or 
sending an email to [email protected].

    Authority: 44 U.S.C. 3507(a)(1)(D).

SUPPLEMENTARY INFORMATION: This ICR seeks PRA approval to revise the 
``Request for Information on Earnings, Dual Benefits, Dependents, and 
Third Party Settlements'' (Form Letter CA-1032) information collection. 
The form letter obtains information from a claimant receiving workers' 
compensation benefits over an extended period of time. The OWCP uses 
this information to determine whether the claimant is entitled to 
continue receiving benefits and whether the benefit amount should be 
adjusted. This ICR has been classified as a revision, because the OWCP 
has made a few changes and minor clarifications to the form letter. 
These changes and clarifications would help to reduce the chance of 
respondents providing incorrect information and would augment 
disclosures the OWCP makes to respondents. More specifically, the 
changes would align the form with the rights of same sex couples, as 
specified under United States v. Windsor, and add information about 
assistance available to respondents with disabilities.
    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 that 
does not display a valid Control Number. See 5 CFR 1320.5(a) and 
1320.6. The DOL obtains OMB approval for this information collection 
under Control Number 1240-0016. The current approval is scheduled to 
expire on April 30, 2014; however, the DOL notes that existing 
information collection requirements submitted to the OMB receive a 
month-to-month extension while they undergo review. New requirements 
would only take effect upon OMB approval. For additional substantive 
information about this ICR, see the related notice published in the 
Federal Register on December 20, 2013 (78 FR 77170).
    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 mention OMB Control Number 1240-0016. 
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,

[[Page 18069]]

e.g., permitting electronic submission of responses.
    Agency: DOL-OWCP.
    Title of Collection: Request for Information on Earnings, Dual 
Benefits, Dependents, and Third Party Settlements.
    OMB Control Number: 1240-0016.
    Affected Public: Individuals or households.
    Total Estimated Number of Respondents: 44,800.
    Total Estimated Number of Responses: 44,800.
    Total Estimated Annual Time Burden: 14,933 hours.
    Total Estimated Annual Other Costs Burden: $23,296.

    Dated: March 25, 2014.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2014-07073 Filed 3-28-14; 8:45 am]
BILLING CODE 4510-CH-P