[Federal Register Volume 88, Number 109 (Wednesday, June 7, 2023)]
[Notices]
[Pages 37288-37289]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-12120]


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DEPARTMENT OF LABOR

Office of Workers' Compensation Programs

[OMB Control No. 1240-0016]


Proposed Extension of Information Collection; Request for 
Information on Earnings, Dual Benefits, Dependents and Third Party 
Settlement (CA-1032)

AGENCY: Office of Workers' Compensation Programs, Division of Federal 
Employees' Longshore and Harbor Workers' Compensation, (OWCP/DFELHWC) 
Labor.

ACTION: Request for public comments.

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SUMMARY: The Department of Labor, as part of its continuing effort to 
reduce paperwork and respondent burden, conducts a pre-clearance 
request for comment to provide the general public and Federal agencies 
with an opportunity to comment on proposed collections of information 
in accordance with the Paperwork Reduction Act of 1995. This request 
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, OWCP/DFELHWC is soliciting comments on the information 
collection for the Request for Information on Earnings, Dual Benefits, 
Dependents and Third Party Settlement (CA-1032).

DATES: All comments must be received on or before August 7, 2023.

ADDRESSES: You may submit comment as follows. Please note that late, 
untimely filed comments will not be considered.
    Written/Paper Submissions: Submit written/paper submissions in the 
following way:
     Mail/Hand Delivery: Mail or visit DOL-OWCP/DFELHWC, Office 
of Workers' Compensation Programs, Division of Federal Employees' 
Longshore and Harbor Workers' Compensation, U.S. Department of Labor, 
200 Constitution Ave. NW, Room S-3323, Washington, DC 20210.
     OWCP/DFELHWC will post your comment as well as any 
attachments, except for information submitted and marked as 
confidential, in the docket at https://www.regulations.gov.

FOR FURTHER INFORMATION CONTACT: Anjanette Suggs, Office of Workers' 
Compensation Programs, Division of Federal Employees' Longshore, and 
Harbor Workers' Compensation, OWCP/DFELHWC, at [email protected] 
@dol.gov (email); (202) 354-9660.

[[Page 37289]]


SUPPLEMENTARY INFORMATION: 

I. Background

    The Federal Employees' Compensation Act (FECA) provides, under 5 
U.S.C. 8124 and 8149, that a claimant receiving workers' compensation 
benefits over an extended period of time provide information concerning 
their employment earnings, dependents, third party settlements, other 
Federal benefits, and other benefits they are receiving to verify their 
entitlement to FECA benefits. 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 help verify that the beneficiary receives the correct 
compensation. Information requested on the CA-1032 is obtained from 
each claiming 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.

II. Desired Focus of Comments

    OWCP/DFELHWC is soliciting comments concerning the proposed 
information collection (ICR) titled, ``Request for Information on 
Earnings, Dual Benefits, Dependents and Third Party Settlement'', CA-
1032. OWCP/DFELHWC is particularly interested in comments that:
     Evaluate whether the collection of information is 
necessary for the proper performance of the functions of the Agency, 
including whether the information has practical utility;
     Evaluate the accuracy of OWCP/DFELHWC's estimate of the 
burden related to the information collection, including the validity of 
the methodology and assumptions used in the estimate;
     Suggest methods to enhance the quality, utility, and 
clarity of the information to be collected; and
     Minimize the burden of the information collection 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.
    Background documents related to this information collection request 
are available at https://regulations.gov and at DOL-OWCP/DFELHWC 
located at 200 Constitution Ave., NW, Room S-3323, Washington, DC 
20210. Questions about the information collection requirements may be 
directed to the person listed in the FOR FURTHER INFORMATION CONTACT 
section of this notice.

III. Current Actions

    This information collection request concerns the Request for 
Information on Earnings, Dual Benefits, Dependents and Third Party 
Settlement, CA-1032.
    OWCP/DFELHWC has updated the data with respect to the number of 
respondents, responses, burden hours, and burden costs supporting this 
information collection request from the previous information collection 
request.
    Type of Review: Extension, without change, of a currently approved 
collection.
    Agency: Office of Workers' Compensation Programs, Division of 
Federal Employees' Longshore, and Harbor Workers' Compensation, OWCP/
DFELHWC.
    OMB Number: 1240-0016.
    Affected Public: Individuals or households.
    Number of Respondents: 33,372.
    Frequency: Once a year.
    Number of Responses: 33,372.
    Annual Burden Hours: 11,013 hours.
    Annual Respondent or Recordkeeper Cost: $15,198.00.
    OWCP Forms: Form CA-1032, Request for Information on Earnings, Dual 
Benefits, Dependents and Third-Party Settlement.
    Comments submitted in response to this notice will be summarized in 
the request for Office of Management and Budget approval of the 
proposed information collection request; they will become a matter of 
public record and will be available at https://www.reginfo.gov.

Anjanette Suggs,
Certifying Officer.
[FR Doc. 2023-12120 Filed 6-6-23; 8:45 am]
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