[Federal Register Volume 78, Number 117 (Tuesday, June 18, 2013)]
[Notices]
[Page 36596]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-14473]



[[Page 36596]]

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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Death Gratuity

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Death Gratuity,'' to the Office of 
Management and Budget (OMB) for review and approval for use in 
accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 
3501 et seq.).

DATES: Submit comments on or before July 18, 2013.

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 of charge 
from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201301-1240-002 (this link will only become active 
on the day following publication of this notice) or by contacting 
Michel Smyth by telephone at 202-693-4129 (this is not a toll-free 
number) or sending an email to [email protected].
    Submit comments about this request to the Office of Information and 
Regulatory Affairs, Attn: OMB Desk Officer for DOL-OWCP, Office of 
Management and Budget, Room 10235, 725 17th Street NW., Washington, DC 
20503, Fax: 202-395-6881 (this is not a toll-free number), email: 
[email protected].

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by email at [email protected].

    Authority:  44 U.S.C. 3507(a)(1)(D).

SUPPLEMENTARY INFORMATION: The National Defense Authorization Act for 
Fiscal Year 2008, Public Law 110-181, amended the Federal Employees' 
Compensation Act (FECA) by establishing a FECA death gratuity benefit 
of up to $100,000 for eligible beneficiaries of Federal employees and 
Non-Appropriated Fund Instrumentality employees who die from injuries 
incurred in connection with service with an Armed Force in a 
contingency operation. See 5 U.S.C. 8102a. The OWCP associates three 
forms with this ICR. Form CA-40 requests information necessary from an 
employee who chooses to name alternate beneficiaries from those 
otherwise established by law. Form CA-41 provides the means for those 
named beneficiaries to file benefit claims. Information provided by 
such claimants allows the OWCP to determine payment eligibility. The 
statute and regulations also require Agencies to notify the OWCP 
immediately upon the death of a covered employee, and Form CA-42 
provides the means to accomplish this notification. This latter form 
requests information necessary to administer any claim for benefits 
resulting from such a death.
    This ICR has been classified as a revision, because the OWCP has 
enhanced disclosures on the forms about how the Agency uses information 
collected under this ICR and the accommodations available for 
respondents with disabilities. For additional substantive information 
about this ICR, see the related notice published in the Federal 
Register on February 19, 2013 (78 FR 11638).
    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 it is approved by the OMB under the PRA 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. The DOL obtains OMB approval for this information collection 
under Control Number 1240-0017. It should be noted that existing 
information collection requirements submitted to the OMB receive a 
month-to-month extension while they undergo review. New information 
collection provisions would only take effect upon OMB approval.
    Interested parties are encouraged to send comments to the OMB, 
Office of Information and Regulatory Affairs at the address shown in 
the ADDRESSES section within 30 days of publication of this notice in 
the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0017. 
The OMB 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-OWCP.
    Title of Collection: Death Gratuity.
    OMB Control Number: 1240-0017.
    Affected Public: Federal Government and Individuals or Households.
    Total Estimated Number of Respondents: 272.
    Total Estimated Number of Responses: 272.
    Total Estimated Annual Burden Hours: 70.
    Total Estimated Annual Other Costs Burden: $5.

    Dated: June 12, 2013.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2013-14473 Filed 6-17-13; 8:45 am]
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