Division of Federal Employees' Compensation; Proposed Extension of the Approval of Information Collection Requirements, 4586-4587 [2010-1642]
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4586
Federal Register / Vol. 75, No. 18 / Thursday, January 28, 2010 / Notices
information collection: Certification by
School Official (CM–981). 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
March 29, 2010.
ADDRESSES: Mr. Vincent Alvarez, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0372,
fax (202) 693–1378, E-mail
Alvarez.Vincent@dol.gov. Please use
only one method of transmission for
comments (mail, fax, or E-mail).
SUPPLEMENTARY INFORMATION:
I. Background
In order to qualify as a dependent that
is eligible for black lung benefits, a child
aged 18 to 23 must be a full-time
student as described in the Black Lung
Benefits Act, 30 U.S.C. 901 et seq. and
attending regulations 20 CFR 725.209.
The CM–981 is partially completed by
the appropriate district office so that the
school official or registrar’s office will
know for which student and time period
the information is being requested and
is also used to verify the full-time
student status. This information
collection is currently approved for use
through May 31, 2010.
mstockstill on DSKH9S0YB1PROD with NOTICES
II. Review Focus
III. Current Actions
The Department of Labor seeks the
approval for the extension of this
17:16 Jan 27, 2010
Dated: January 22, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers’
Compensation Programs, Department of
Labor.
[FR Doc. 2010–1630 Filed 1–27–10; 8:45 am]
BILLING CODE 4510–CK–P
DEPARTMENT OF LABOR
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 submission of
responses.
VerDate Nov<24>2008
currently approved information
collection in order to determine the
continued eligibility of students.
Type of Review: Extension.
Agency: Office of Workers’
Compensation Programs.
Title: Certification by School Official.
OMB Number: 1215–0061.
Agency Number: CM–981.
Affected Public: Individuals or
households, Not-for-profit institutions,
State, Local or Tribal Government.
Total Respondents: 300.
Total Annual Responses: 300.
Estimated Time per Response: 10
minutes.
Frequency: On occasion.
Estimated Total Burden Hours: 50.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $0.
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.
Jkt 220001
Office of Workers’ Compensation
Programs
Division of Federal Employees’
Compensation; Proposed Extension of
the Approval of Information Collection
Requirements
ACTION:
Notice.
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
PO 00000
Frm 00064
Fmt 4703
Sfmt 4703
soliciting comments concerning the
proposed collection: Death Gratuity
Forms (CA–40, CA–41, and CA–42). 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
March 29, 2010.
ADDRESSES: Mr. Vincent Alvarez, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0372,
fax (202) 693–1378, e-mail
Alvarez.Vincent@dol.gov. Please use
only one method of transmission for
comments (mail, fax, or e-mail).
SUPPLEMENTARY INFORMATION
I. Background
The National Defense Authorization
Act for Fiscal Year 2008, Public Law
110–181, was enacted on January 28,
2008. Section 1105 of Public Law 110–
181 amended the Federal Employees’
Compensation Act (FECA) creating a
new section 8102a effective upon
enactment. This section established a
new FECA death gratuity benefit for
eligible beneficiaries of Federal
employees and Non-Appropriated Fund
Instrumentality (NAFI) employees who
die from injuries incurred in connection
with service with an Armed Force in a
contingency operation. Section 8102a
also permits agencies to authorize
retroactive payment of the death
gratuity for employees who died on or
after October 7, 2001, in service with an
Armed Force in the theater of operations
of Operation Enduring Freedom and
Operation Iraqi Freedom. Form CA–40
requests the information necessary from
the employee to accomplish this
variance. Form CA–41 provides the
means for those named beneficiaries
and possible recipients to file claims for
those benefits and requests information
from such claimants so that OWCP may
determine their eligibility for payment.
Furthermore, the statute and regulations
require agencies to notify OWCP
immediately upon the death of a
covered employee. CA–42 provides the
means to accomplish this notification
and requests information necessary to
administer any claim for benefits
resulting from such a death. This
information collection is currently
approved for use through May 31, 2010.
II. Review Focus
The Department of Labor is
particularly interested in comments
which:
E:\FR\FM\28JAN1.SGM
28JAN1
4587
Federal Register / Vol. 75, No. 18 / Thursday, January 28, 2010 / Notices
* 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
extension of approval to collect this
information in order to carry out its
responsibility to meet the statutory
requirements of the Federal Employees’
Compensation Act. The information
contained in these forms is used by the
Division of Federal Employees’
Time to
complete
(min)
Form
Frequency of
response
Compensation to determine entitlement
to benefits under the Act, to verify
dependent status, and to initiate,
continue, adjust, or terminate benefits
based on eligibility criteria.
Type of Review: Extension.
Agency: Office of Workers’
Compensation Programs.
Title: Death Gratuity Forms.
OMB Number: 1215–0206.
Agency Number: CA–40, CA–41, and
CA–42.
Affected Public: Individuals or
household; Federal Government.
Total Respondents: 2,635.
Total Responses: 2,635.
Number of
respondents
Number of
responses
Hours burden
CA–40 (Individual Respondent) ...........................................
CA–41 (Individual Respondent) ...........................................
CA–42 (Agency Respondent) ..............................................
15
15
20
1
1
1
2,600
25
10
2,600
25
10
650
6.25
3.33
Totals ............................................................................
........................
........................
2,635
2,635
659.58
Estimated Total Burden Hours: 659
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $12.
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: January 22, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers’
Compensation Programs, Department of
Labor.
[FR Doc. 2010–1642 Filed 1–27–10; 8:45 am]
BILLING CODE 4510–CH–P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Division of Federal Employees’
Compensation; Proposed Extension of
the Approval of Information Collection
Requirements
mstockstill on DSKH9S0YB1PROD with NOTICES
ACTION:
Notice.
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
VerDate Nov<24>2008
17:16 Jan 27, 2010
Jkt 220001
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 the
proposed collection: Claim for
Compensation by Dependents
Information Reports (CA–5, CA–5b, CA–
1031, CA1074, Letter of Compensation
Due at Death and Letter of Student/
Dependency). 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
March 29, 2010.
ADDRESSES: Mr. Vincent Alvarez, U.S.
Department of Labor, 200 Constitution
Ave., NW., Room S–3201, Washington,
DC 20210, telephone (202) 693–0372,
fax (202) 693–1378, E-mail
Alvarez.Vincent@dol.gov. Please use
only one method of transmission for
comments (mail, fax, or E-mail).
SUPPLEMENTARY INFORMATION:
I. Background
The forms included in this package
are forms used by Federal employees
and their dependents to claim benefits,
PO 00000
Frm 00065
Fmt 4703
Sfmt 4703
to prove continued eligibility for
benefits, to show entitlement to
remaining compensation payments of a
deceased employee and to show
dependency under the Federal
Employees’ Compensation Act. There
are six forms in this information
collection request. The information
collected by Forms CA–5, is used by
dependents for claiming compensation
for the work related death of a Federal
Employee and CA–5b is used by other
survivors. Form CA–1031 is used in
disability cases and provides
information to determine whether a
claimant is actually supporting a
dependent and is entitled to additional
compensation. Form CA–1074 is a
follow up to CA–5b to request
clarification of any information that is
unclear and incomplete in the CA–5b.
The letter of ‘‘Compensation Due at
Death’’ is used to request information
necessary to distribute compensation
due when an employee dies who was
receiving or who was entitled to
compensation at the time of death for
either disability benefits or a scheduled
award. The letter of ‘‘Student/
Dependency’’ is used to obtain
information regarding the student status
of a dependent. When a child reaches 18
years of age, they are no longer
considered an eligible dependent unless
they are a full time student or incapable
of self-support. This information
collection is currently approved for use
through May 31, 2010.
E:\FR\FM\28JAN1.SGM
28JAN1
]]>Agencies
[Federal Register Volume 75, Number 18 (Thursday, January 28, 2010)]
[Notices]
[Pages 4586-4587]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-1642]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Division of Federal Employees' Compensation; Proposed Extension
of the Approval of Information Collection Requirements
ACTION: Notice.
-----------------------------------------------------------------------
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 the proposed collection: Death Gratuity Forms (CA-
40, CA-41, and CA-42). 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 March 29, 2010.
ADDRESSES: Mr. Vincent Alvarez, U.S. Department of Labor, 200
Constitution Ave., NW., Room S-3201, Washington, DC 20210, telephone
(202) 693-0372, fax (202) 693-1378, e-mail Alvarez.Vincent@dol.gov.
Please use only one method of transmission for comments (mail, fax, or
e-mail).
SUPPLEMENTARY INFORMATION
I. Background
The National Defense Authorization Act for Fiscal Year 2008, Public
Law 110-181, was enacted on January 28, 2008. Section 1105 of Public
Law 110-181 amended the Federal Employees' Compensation Act (FECA)
creating a new section 8102a effective upon enactment. This section
established a new FECA death gratuity benefit for eligible
beneficiaries of Federal employees and Non-Appropriated Fund
Instrumentality (NAFI) employees who die from injuries incurred in
connection with service with an Armed Force in a contingency operation.
Section 8102a also permits agencies to authorize retroactive payment of
the death gratuity for employees who died on or after October 7, 2001,
in service with an Armed Force in the theater of operations of
Operation Enduring Freedom and Operation Iraqi Freedom. Form CA-40
requests the information necessary from the employee to accomplish this
variance. Form CA-41 provides the means for those named beneficiaries
and possible recipients to file claims for those benefits and requests
information from such claimants so that OWCP may determine their
eligibility for payment. Furthermore, the statute and regulations
require agencies to notify OWCP immediately upon the death of a covered
employee. CA-42 provides the means to accomplish this notification and
requests information necessary to administer any claim for benefits
resulting from such a death. This information collection is currently
approved for use through May 31, 2010.
II. Review Focus
The Department of Labor is particularly interested in comments
which:
[[Page 4587]]
* 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 extension of approval to collect this
information in order to carry out its responsibility to meet the
statutory requirements of the Federal Employees' Compensation Act. The
information contained in these forms is used by the Division of Federal
Employees' Compensation to determine entitlement to benefits under the
Act, to verify dependent status, and to initiate, continue, adjust, or
terminate benefits based on eligibility criteria.
Type of Review: Extension.
Agency: Office of Workers' Compensation Programs.
Title: Death Gratuity Forms.
OMB Number: 1215-0206.
Agency Number: CA-40, CA-41, and CA-42.
Affected Public: Individuals or household; Federal Government.
Total Respondents: 2,635.
Total Responses: 2,635.
----------------------------------------------------------------------------------------------------------------
Time to
Form complete Frequency of Number of Number of Hours burden
(min) response respondents responses
----------------------------------------------------------------------------------------------------------------
CA-40 (Individual Respondent)... 15 1 2,600 2,600 650
CA-41 (Individual Respondent)... 15 1 25 25 6.25
CA-42 (Agency Respondent)....... 20 1 10 10 3.33
-------------------------------------------------------------------------------
Totals...................... .............. .............. 2,635 2,635 659.58
----------------------------------------------------------------------------------------------------------------
Estimated Total Burden Hours: 659
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $12.
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: January 22, 2010.
Vincent Alvarez,
Agency Clearance Officer, Office of Workers' Compensation Programs,
Department of Labor.
[FR Doc. 2010-1642 Filed 1-27-10; 8:45 am]
BILLING CODE 4510-CH-P
