[Federal Register Volume 82, Number 98 (Tuesday, May 23, 2017)]
[Notices]
[Pages 23608-23609]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-10565]


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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.

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SUMMARY: On May 31, 2017, the Department of Labor (DOL) will submit 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. 
Public comments on the ICR are invited.

DATES: The OMB will consider all written comments that agency receives 
on or before June 30, 2017.

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=201701-1240-003 (this link will only become active 
on June 1, 2017) 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 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].

[[Page 23609]]


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].

SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Request for Information on Earnings, Dual Benefits, 
Dependents, and Third-Party Settlements (Form CA-1032, Form EN-1032) 
information collection. The OWCP uses this collection to obtain 
information from a Federal Employees' Compensation Act (FECA) claimant 
receiving workers' compensation benefits over an extended period. The 
OWCP uses the response to determine whether the claimant is entitled to 
continue receiving benefits and whether the benefit amount should be 
adjusted. The collection is necessary to ensure the beneficiary 
receives correct compensation. This information collection has been 
classified as a revision, because OWCP has made several clarifications 
to the data collection. The FECA authorizes this information 
collection. See 5 U.S.C. 8124 and 8149.
    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 May 31, 2017; 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 February 27, 2017 (82 FR 11946).
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section by June 30, 2017. 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, 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: 45,161.
    Total Estimated Number of Responses: 45,161.
    Total Estimated Annual Time Burden: 15,054 hours.
    Total Estimated Annual Other Costs Burden: $9,935.

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

    Dated: May 17, 2017.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2017-10565 Filed 5-22-17; 8:45 am]
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