[Federal Register Volume 87, Number 180 (Monday, September 19, 2022)]
[Notices]
[Pages 57224-57225]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-20186]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs


Agency Information Collection Activities; Comment Request; Claim 
for Schedule Award (CA-9)

AGENCY: Office of Workers' Compensation Programs, Labor.

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is soliciting comments 
concerning a proposed collection: ``Claim for Schedule Award (CA-9).'' 
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 18, 2022.

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: 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: The Office of Workers' Compensation Programs (OWCP) 
administers the Federal Employees' Compensation Act (FECA). The Office 
of Workers' Compensation Programs (OWCP) administers the Federal 
Employees' Compensation Act (FECA) under statutes 5 U.S.C. 8101 et seq. 
Congress gave the Secretary of Labor authority to prescribe rules and 
regulations necessary for the administration and enforcement of the 
FECA. 5 U.S.C. 8149. The FECA requires the United States to provide 
compensation to individuals who sustain an injury while in the course 
of federal employment. 5 U.S.C. 8102. Part of the compensation Congress 
provided for federal employees is for scheduled impairments. 5 U.S.C. 
8107. The Secretary is proposing a new schedule award filing process 
(with the implementation of a new form, CA-9, Claim for Schedule 
Impairment) to more efficiently collect the information necessary to 
support a claim for a scheduled impairment when an injured employee has 
sustained permanent impairment to a member or function of the body 
pursuant to the FECA under Section 8107.
    Information collected on Form CA-9 provides OWCP with the statutory 
requirements for permanent impairment claims and must be used to claim 
compensation for impairment to a body part covered under the schedule 
established by 5 U.S.C. 8107. In the vast majority of cases whereby 
permanent impairment is claimed, a claimant continues to be employed by 
the federal government. In those cases, the Form CA-9 is completed by a 
federal employee and their supervisor, therefore not affecting the 
public, as contemplated under the PRA. See 5 CFR 1320.3(c)(3). The Form 
CA-9 is required of a member of the public on rare occasions, such as 
when compensation is claimed after the claimant's federal employment 
has been terminated. It is estimated that no more than 775 of these 
forms are required of members of the public through the course of a 
year. Therefore, this request for clearance by OMB only pertains to a 
small percentage of the overall use of this particular form.
    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 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 be 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 1240-0NEW. 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:

[[Page 57225]]

     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: New information collection.
    Title of Collection: Claim for Schedule Award.
    Form: CA-9.
    OMB Control Number: 1240-0NEW.
    Affected Public: Individuals or households.
    Estimated Number of Respondents: 775.
    Frequency: On occasion.
    Total Estimated Annual Responses: 775.
    Estimated Average Time per Response: 0.5 hours.
    Estimated Total Annual Burden Hours: 388 hours.
    Total Estimated Annual Other Cost Burden: 0.00.
    Authority: 44 U.S.C. 3506(c)(2)(A).

Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2022-20186 Filed 9-16-22; 8:45 am]
BILLING CODE 4510-CH-P