[Federal Register Volume 83, Number 171 (Tuesday, September 4, 2018)]
[Notices]
[Page 44910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19165]
[[Page 44910]]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Proposed Extension of Existing Collection; Comment Request
AGENCY: Division of Federal Employees' Compensation, Office of Workers'
Compensation Programs, Department of Labor.
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 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 November 5, 2018.
ADDRESSES: You may submit comments by mail, delivery service or by hand
to Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave.
NW, Room S-3323, Washington, DC 20210; by fax (202) 354-9647; or by
Email [email protected]. Please use only one method of transmission
for comments (mail/delivery, fax, or Email). Please note that comments
submitted after the comment period will not be considered.
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 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 November 30, 2018.
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.
Agency: Office of Workers' Compensation Program.
Type of Review: Extension.
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
(min.) response respondents responses
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CA-1108 Business Respondent..... 30 1 928 928 464
CA-1122 Individual Respondent... 15 1 10 10 3
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Totals...................... NA NA 938 938 467
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Total Respondents: 938.
Total Annual Responses: 938.
Average Time per Response: 15-30 minutes.
Estimated Total Burden Hours: 467.
Frequency: As needed.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $249.
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 27, 2018.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US
Department of Labor.
[FR Doc. 2018-19165 Filed 8-31-18; 8:45 am]
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