[Federal Register Volume 85, Number 63 (Wednesday, April 1, 2020)]
[Notices]
[Pages 18279-18280]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-06748]


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DEPARTMENT OF LABOR

Office of the Workers' Compensation Programs


Agency Information Collection Activities; Comment Request; 
Request for Information on Earnings, Dual Benefits, Dependents and 
Third Party Settlement, CA-1032

AGENCY: Division of Federal Employees' Compensation, Office of the 
Workers' Compensation Programs, Department of Labor.

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is soliciting comments 
concerning a proposed revision for the authority to conduct the 
information collection request (ICR) titled, ``[Request for Information 
on Earnings, Dual Benefits, Dependents and Third Party Settlement, CA-
1032].'' This comment request is part of continuing Departmental 
efforts to reduce paperwork and respondent burden in accordance with 
the Paperwork Reduction Act of 1995 (PRA).

DATES: Consideration will be given to all written comments received by 
June 1, 2020.

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 by 
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at 
[email protected].
    Submit written comments about, or requests for a copy of, this ICR 
by mail or courier to the U.S. Department of Labor, Office of Workers' 
Compensation Programs, Room S3323, 200 Constitution Avenue NW, 
Washington, DC 20210; by email: [email protected].

FOR FURTHER INFORMATION CONTACT: Anjanette Suggs by telephone at 202-
354-9660 or by email at [email protected].

SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to 
reduce paperwork and respondent burden, conducts a pre-clearance 
consultation program to provide the general public and Federal agencies 
an opportunity to comment on proposed and/or continuing collections of 
information before submitting them to the OMB for final approval. This 
program helps to ensure 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 can be properly assessed.
    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. Information requested on the CA-1032 is obtained from 
each claimant receiving continuing compensation on the periodic 
disability roll. The form requests information on the claimant's 
earnings, dependents, third party settlements, and other Federal 
benefits received. 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 the OMB under the PRA approves it and displays a 
currently valid OMB Control Number. The current approval is scheduled 
to expire August 31, 2020. 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.
    Interested parties are encouraged to provide comments to the 
contact shown in the ADDRESSES section. Written comments will receive 
consideration, and summarized and included in the request for OMB 
approval of the final ICR. In order to help ensure appropriate 
consideration, comments should mention [1240-0016].
    Submitted comments will also be a matter of public record for this 
ICR and posted on the internet, without redaction. The DOL encourages 
commenters not to include personally identifiable information, 
confidential business data, or other sensitive statements/information 
in any comments.
    The DOL 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-Office of Workers' Compensation Programs.
    Type of Review: [Revision].
    Title of Collection: [Request for Information on Earnings, Dual 
Benefits, Dependents and Third Party Settlement].
    Form: [CA-1032].
    OMB Control Number: [1240-0016].
    Affected Public: [Individual or Household].
    Estimated Number of Respondents: [37,056].

[[Page 18280]]

    Frequency: [Annually].
    Total Estimated Annual Responses: [37,056].
    Estimated Average Time per Response: [20 minutes].
    Estimated Total Annual Burden Hours: [12,352] hours.
    Total Estimated Annual Other Cost Burden: $[294,472].

    Authority: 44 U.S.C. 3506(c)(2)(A).

Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2020-06748 Filed 3-31-20; 8:45 am]
 BILLING CODE 4510-CH-P