[Federal Register Volume 86, Number 172 (Thursday, September 9, 2021)]
[Notices]
[Pages 50559-50560]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-19429]


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DEPARTMENT OF LABOR

Office of the Workers' Compensation Programs


Agency Information Collection Activities; Comment Request; 
Statement of Recovery Forms

AGENCY: Office of Workers' Compensations, DOL.

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL, is soliciting comments 
concerning a proposed extension for the authority to conduct the 
information collection request (ICR) titled, ``[Statement of Recovery 
(SOR) Forms (CA-1108 and CA-1122)].'' 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 
November 8, 2021.

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.
    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 February 28, 2022. 
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. In addition, notwithstanding any 
other provisions of law, no person 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 OMB Number 1240-0001. 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: Extension.
    Agency: Office of Workers' Compensation Programs.
    Title of Collection: Statement of Recovery Forms.
    Form: CA-1108 and CA-1122.
    OMB Number: 1240-0001.
    Affected Public: Business or other for profit, Individuals or 
households.
    Estimated Number of Respondents: 1164.
    Frequency: As needed.
    Total Estimated Annual Responses: 1164.
    Estimated Average Time per Response: 5-30 minutes.

[[Page 50560]]

    Estimated Total Annual Burden Hours: 580.
    Total Estimated Annual Other Cost Burden: $41,384.
    Authority: 44 U.S.C. 3506(c)(2)(A).

Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2021-19429 Filed 9-8-21; 8:45 am]
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