[Federal Register Volume 81, Number 159 (Wednesday, August 17, 2016)]
[Notices]
[Pages 54852-54853]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-19614]


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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Death Gratuity

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Death Gratuity,'' 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.). Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before September 16, 2016.

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=201603-1240-001 (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: 202-395-5806 (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: 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 approval under the PRA for 
revisions to the Death Gratuity Forms. The National Defense 
Authorization Act for Fiscal Year 2008, Public Law 110-181, amended the 
Federal Employees' Compensation Act (FECA) by establishing a FECA death 
gratuity benefit of up to $100,000 for eligible beneficiaries of 
Federal employees and Non-Appropriated Fund Instrumentality employees 
who die from injuries incurred in connection with service with an Armed 
Force in a contingency operation. The OWCP associates three forms with 
this ICR. Form CA-40 requests information necessary from an employee 
who chooses to name alternate beneficiaries from those otherwise 
established by law. Form CA-41 provides the means for those named 
beneficiaries to file benefit claims. Information provided by such 
claimants allows the OWCP to determine payment eligibility. The statute 
and regulations also require Agencies to notify the OWCP immediately 
upon the death of a covered employee, and Form CA-42 provides the means 
to accomplish this notification. This latter form requests information 
necessary to administer any claim for benefits resulting from such a 
death. The Federal Employee Compensation Act authorizes this 
information collection. See 5 U.S.C. 8145, 8149.
    This information collection has been classified as a revision, 
because of changes to the forms. For example, each form has enhanced 
the statement informing respondents with disabilities how they may 
obtain assistance in filing a claim. A certification on Form CA-41 has 
also been clarified and direct deposit information has been added.
    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 1240-0017. The current approval is scheduled to 
expire on August 31, 2016; 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 April 13, 2016 (81 FR 21905).
    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 thirty (30) days of publication of this 
notice in the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0017. 
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.

[[Page 54853]]

    Agency: DOL-OWCP.
    Title of Collection: Death Gratuity.
    OMB Control Number: 1240-0017.
    Affected Public: Individuals or Households.
    Total Estimated Number of Respondents: 262.
    Total Estimated Number of Responses: 262.
    Total Estimated Annual Time Burden: 67 hours.
    Total Estimated Annual Other Costs Burden: $0.

     Dated: August 10, 2016.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016-19614 Filed 8-16-16; 8:45 am]
 BILLING CODE 4510-CH-P