[Federal Register Volume 80, Number 90 (Monday, May 11, 2015)]
[Notices]
[Pages 26955-26956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11315]


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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 its proposal to extend OMB approval of the 
information collection: Statement of Recovery (SOR) Forms (CA-1108 and 
CA-1122). 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 July 10, 2015.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone/fax 
(202) 354-9647, Email [email protected]. Please use only one method 
of transmission for comments (mail, fax, or Email).

SUPPLEMENTARY INFORMATION: 
    I. Background: A Federal employee who sustains a work-related 
injury is entitled to receive compensation under the Federal Employees' 
Compensation Act (FECA). If that injury is caused under circumstances 
that create a legal liability in a third party to pay damages, the FECA 
authorizes the Secretary of Labor to require the employee to assign his 
or her right of action to the United States or to prosecute the action 
in his or her own name. See 5 U.S.C. 8131.
    When the employee receives a payment for his or her damages, 
whether from a final court judgment on or a settlement of the action, 
section

[[Page 26956]]

8132 of the FECA (5 U.S.C. 8132) provides that the employee ``shall 
refund to the United States that amount of compensation paid by the 
United States. . . .'' To enforce the United States' statutory right of 
reimbursement, the Office of Workers' Compensation Programs (OWCP) has 
promulgated regulations. The regulations require a FECA beneficiary to 
report these types of payments (20 CFR 10.710) and submit the detailed 
information necessary to calculate the amount of the refund and 
surplus, if any, according to the formula in the statute (20 CFR 
10.707(e)).
    The information collected by Form CA-1108 and Form CA-1122 from the 
FECA beneficiary includes this information and is necessary to 
calculate the amount of the refund and surplus owed to the United 
States from the FECA beneficiary's settlement or judgment, as required 
in the statute and the regulations. This information collection is 
currently approved for use through August 31, 2015.
    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 approval 
for the extension of this currently approved information collection in 
order to exercise its responsibility to enforce the United States' 
right to this refund. The information collected with Form CA-1108 and 
Form CA-1122 is used by SOL personnel to determine the amount to be 
reimbursed to the United States out of the proceeds of an action 
asserted by an injured Federal employee against a liable third party 
for a compensable injury.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Statement of Recovery Forms.
    OMB Number: 1240-0001.
    Agency Number: CA-1108 and CA-1122.
    Affected Public: Business or other for-profit, Individuals or 
households.

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                                     Time to
              Form                  complete       Frequency of      Number of       Number of     Hours burden
                                    (minutes)        response       respondents      responses
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CA-1108 Business Respondent....              30               1              832             832             416
CA-1122 Individual Respondent..              15               1               10              10               3
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    Totals.....................              NA              NA              842             842             419
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    Total Respondents: 842.
    Total Annual Responses: 842.
    Average Time per Response: 15-30 minutes.
    Estimated Total Burden Hours: 419.
    Frequency: As needed.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $219.
    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: May 5, 2015.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, 
U.S. Department of Labor.
[FR Doc. 2015-11315 Filed 5-8-15; 8:45 am]
 BILLING CODE 4510-CH-P