[Federal Register Volume 80, Number 90 (Monday, May 11, 2015)]
[Notices]
[Pages 26955-26956]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-11315]
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DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Federal Employees' Compensation Proposed Extension of
Existing Collection; Comment Request
ACTION: Notice.
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SUMMARY: The Department of Labor, as part of its continuing effort to
reduce paperwork and respondent burden, conducts a preclearance
consultation program to provide the general public and Federal agencies
with an opportunity to comment on proposed and/or continuing
collections of information in accordance with the Paperwork Reduction
Act of 1995 (PRA95) [44 U.S.C. 3506(c)(2)(A)]. This program 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, the Office of Workers' Compensation Programs is soliciting
comments concerning its proposal to extend OMB approval of the
information collection: Statement of Recovery (SOR) Forms (CA-1108 and
CA-1122). A copy of the proposed information collection request can be
obtained by contacting the office listed below in the addresses section
of this Notice.
DATES: Written comments must be submitted to the office listed in the
addresses section below on or before July 10, 2015.
ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone/fax
(202) 354-9647, Email [email protected]. Please use only one method
of transmission for comments (mail, fax, or Email).
SUPPLEMENTARY INFORMATION:
I. 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
[[Page 26956]]
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 August 31, 2015.
II. Review Focus: The Department of Labor is particularly
interested in comments which:
* 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
submissions of responses.
III. Current Actions: The Department of Labor seeks the approval
for the extension of this currently approved information collection in
order to exercise its responsibility to enforce the United States'
right to this refund. The information collected with Form CA-1108 and
Form CA-1122 is used by SOL personnel to determine the amount to be
reimbursed to the United States out of the proceeds of an action
asserted by an injured Federal employee against a liable third party
for a compensable injury.
Type of Review: Extension.
Agency: Office of Workers' Compensation Programs.
Title: Statement of Recovery Forms.
OMB Number: 1240-0001.
Agency Number: CA-1108 and CA-1122.
Affected Public: Business or other for-profit, Individuals or
households.
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Time to
Form complete Frequency of Number of Number of Hours burden
(minutes) response respondents responses
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CA-1108 Business Respondent.... 30 1 832 832 416
CA-1122 Individual Respondent.. 15 1 10 10 3
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Totals..................... NA NA 842 842 419
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Total Respondents: 842.
Total Annual Responses: 842.
Average Time per Response: 15-30 minutes.
Estimated Total Burden Hours: 419.
Frequency: As needed.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $219.
Comments submitted in response to this notice will be summarized
and/or included in the request for Office of Management and Budget
approval of the information collection request; they will also become a
matter of public record.
Dated: May 5, 2015.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs,
U.S. Department of Labor.
[FR Doc. 2015-11315 Filed 5-8-15; 8:45 am]
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