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