[Federal Register Volume 82, Number 64 (Wednesday, April 5, 2017)]
[Notices]
[Pages 16633-16634]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-06782]


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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). 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: Claim for Continuance of Compensation (CA-12). 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 June 5, 2017.

ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200 
Constitution Ave. NW., Room S-3323, 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

    The Office of Workers' Compensation Programs administers the 
Federal Employees' Compensation Act, 5 U.S.C. 8133. Under the Act, 
eligible dependents of deceased employees receive compensation benefits 
on account of the employee's death. OWCP has to monitor death benefits 
for current marital status, potential for dual benefits, and other 
criteria for qualifying as a survivor under the law. The CA-12 is sent 
annually to beneficiaries in death cases to verify that their status 
has not changed and that they remain entitled to benefits. The 
information collected is used by OWCP claims examiners to help ensure 
that death benefits being paid are correct, and that payments are not 
made to ineligible survivors. This information collection is currently 
approved for use through July 31, 2017.

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,

[[Page 16634]]

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 extension of approval to collect this 
information collection in order to ensure that death benefits being 
paid are correct.
    Type of Review: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title: Claim for Continuance of Compensation.
    OMB Number: 1240-0015.
    Agency Number: CA-12.
    Affected Public: Individuals or households.
    Total Respondents: 3,552.
    Total Annual Responses: 3,552.
    Average Time per Response: 5 minutes.
    Estimated Total Burden Hours: 295.
    Frequency: Annually.
    Total Burden Cost (capital/startup): $0.
    Total Burden Cost (operating/maintenance): $1,847.
    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: March 28, 2017.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US 
Department of Labor.
[FR Doc. 2017-06782 Filed 4-4-17; 8:45 am]
 BILLING CODE 4510-CH-P