Division of Federal Employees' Compensation; Proposed Extension of the Approval of Information Collection Requirements, 4587-4588 [2010-1644]

Download as PDF 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 4588 Federal Register / Vol. 75, No. 18 / Thursday, January 28, 2010 / Notices * 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. 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 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/letter 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: Claim for Compensation by Dependents Information Reports. OMB Number: 1215–0155. Agency Number: CA–5, CA–5b, CA– 1031, CA–1074, Letter of Compensation Due at Death and Letter of Student/ Dependency. Affected Public: Individuals or households. Total Respondents: 1,358. Total Responses: 1,358. Frequency of response Number of respondents Hours burden CA–5 ................................................................................................................ CA–5b .............................................................................................................. CA–1031 .......................................................................................................... CA–1074 .......................................................................................................... Student Dependency ....................................................................................... CompDue at Death .......................................................................................... 90 90 15 60 30 30 1 1 1 1 1 1 185 19 146 19 925 64 278 29 37 19 463 32 Totals ........................................................................................................ ........................ ........................ 1358 858 Estimated Total Burden Hours: 858. Total Burden Cost (capital/startup): $638. Total Burden Cost (operating/ maintenance): $9,961. 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. 2010–1644 Filed 1–27–10; 8:45 am] BILLING CODE 4510–CH–P NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice 10–011] mstockstill on DSKH9S0YB1PROD with NOTICES NASA Advisory Council; Meeting AGENCY: National Aeronautics and Space Administration. ACTION: Notice of Meeting. In accordance with the Federal Advisory Committee Act, Public Law 92–463, as amended, the National Aeronautics and Space Administration announces a meeting of the newly formed Information Technology SUMMARY: VerDate Nov<24>2008 17:16 Jan 27, 2010 Jkt 220001 Infrastructure Committee of the NASA Advisory Council. This will be the first meeting of this Committee. DATES: February 11, 2010—11 a.m.–1 p.m. (EST). Meet-Me-Number: 1–877–613–3958; #2939943. ADDRESSES: NASA Headquarters, 300 E Street, SW., Washington, DC, Room 2N35 FOR FURTHER INFORMATION CONTACT: Ms. Tereda J. Frazier, Executive Secretary for the Information Technology Infrastructure Committee, National Aeronautics and Space Administration Headquarters, Washington, DC, 20546, (202) 358–2595. SUPPLEMENTARY INFORMATION: The topics of discussion for the meeting are the following: • Committee Responsibilities. • Committee Processes. • NASA IT Infrastructure Overview. • Nomination of Early Work Areas. It is imperative that these meetings be held on this date to accommodate the scheduling priorities of the key participants. Attendees will be requested to comply with NASA security requirements, including the presentation of a valid picture ID, before receiving an access badge. Foreign nationals attending this meeting will be required to provide a copy of their passport, visa, or green card in addition to providing the following information PO 00000 Frm 00066 Fmt 4703 Sfmt 4703 no less than 10 working days prior to the meeting: Full name; gender; date/ place of birth; citizenship; visa/green card information (number, type, expiration date); passport information (number, country, expiration date); employer/affiliation information (name of institution, address, country, phone); and title/position of attendee. To expedite admittance, attendees with U.S. citizenship can provide identifying information 3 working days in advance by contacting Ms. Tereda J. Frazier via e-mail at tereda.j.frazier@nasa.gov or by telephone at (202) 358–2595. Persons with disabilities who require assistance should indicate this. Dated: January 22, 2010. P. Diane Rausch, Advisory Committee Management Officer, National Aeronautics and Space Administration. [FR Doc. 2010–1638 Filed 1–27–10; 8:45 am] BILLING CODE 7510–13–P NATIONAL AERONAUTICS AND SPACE ADMINISTRATION [Notice 10–013] NASA Advisory Council; meeting AGENCY: National Aeronautics and Space Administration. ACTION: Notice of Meeting. E:\FR\FM\28JAN1.SGM 28JAN1

Agencies

[Federal Register Volume 75, Number 18 (Thursday, January 28, 2010)]
[Notices]
[Pages 4587-4588]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-1644]


-----------------------------------------------------------------------

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: 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, 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.

[[Page 4588]]

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 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: Claim for Compensation by Dependents Information Reports.
    OMB Number: 1215-0155.
    Agency Number: CA-5, CA-5b, CA-1031, CA-1074, Letter of 
Compensation Due at Death and Letter of Student/Dependency.
    Affected Public: Individuals or households.
    Total Respondents: 1,358.
    Total Responses: 1,358.

----------------------------------------------------------------------------------------------------------------
                                                      Time to      Frequency of      Number of
                   Form/letter                    complete (min)     response       respondents    Hours burden
----------------------------------------------------------------------------------------------------------------
CA-5............................................              90               1             185             278
CA-5b...........................................              90               1              19              29
CA-1031.........................................              15               1             146              37
CA-1074.........................................              60               1              19              19
Student Dependency..............................              30               1             925             463
CompDue at Death................................              30               1              64              32
                                                 ---------------------------------------------------------------
    Totals......................................  ..............  ..............            1358             858
----------------------------------------------------------------------------------------------------------------

    Estimated Total Burden Hours: 858.
    Total Burden Cost (capital/startup): $638.
    Total Burden Cost (operating/maintenance): $9,961.
    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. 2010-1644 Filed 1-27-10; 8:45 am]
BILLING CODE 4510-CH-P