[Federal Register Volume 80, Number 163 (Monday, August 24, 2015)]
[Notices]
[Pages 51322-51323]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-20779]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


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: Request for Employment Information (CA-1027). 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 October 23, 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: Payment of compensation for partial disability to 
injured Federal workers is required by 5 U.S.C. 8106. That section also 
requires the Office of Workers' Compensation Programs (OWCP) to obtain 
information regarding a claimant's earnings during a period of 
eligibility to compensation. The CA-1027, Request for Employment 
Information, is the form used to obtain information for an individual 
who is

[[Page 51323]]

employed by a private employer. This information is used to determine 
the claimant's entitlement to compensation benefits. This information 
collection is currently approved for use through January 31, 2016.
    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 determine a claimant's eligibility for compensation benefits.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Request for Employment Information.
    OMB Number: 1240-0047.
    Agency Number: CA-1027.
    Affected Public: Business or other for-profit.
    Total Respondents: 154.
    Total Annual Responses: 154.
    Average Time per Response: 15 minutes.
    Estimated Total Burden Hours: 39.
    Frequency: On occasion.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $80.
    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: August 18, 2015.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2015-20779 Filed 8-21-15; 8:45 am]
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