Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Compensation by a Dependent Information Reports, 39014-39015 [2013-15540]

Download as PDF 39014 Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices a record or information pertaining to that individual. (b) Any individual requesting access to a record or information on himself or herself must appear in person at the offices of the Foreign Claims Settlement Commission, 600 E Street NW., Room 6002, Washington, DC, between the hours of 9 a.m. and 5:00 p.m., Monday through Friday, and (1) Provide information sufficient to identify the record, e.g., the individual’s own name, claim and decision number, date and place of birth, etc.; (2) Provide identification sufficient to verify the individual’s identity, e.g., driver’s license, Medicare card, or other government issued identification; and (3) Any individual requesting access to records or information pertaining to himself or herself may be accompanied by a person of the individual’s own choosing while reviewing the records or information. If an individual elects to be so accompanied, advance notification of the election will be required along with a written statement authorizing disclosure and discussion of the record in the presence of the accompanying person at any time, including the time access is granted. (c) Any individual making a request for access to records or information pertaining to himself or herself by mail must address the request to the Privacy Officer, Foreign Claims Settlement Commission, 600 E Street NW., Room 6002, Washington, DC 20579, and must provide information acceptable to the Commission to verify the individual’s identity. (d) Responses to requests under this section normally will be made within ten (10) days of receipt (excluding Saturdays, Sundays, and legal holidays). If it is not possible to respond to requests within that period, an acknowledgment will be sent to the individual within ten (10) days of receipt of the request (excluding Saturdays, Sundays, and legal holidays). tkelley on DSK3SPTVN1PROD with NOTICES CONTESTING RECORD PROCEDURES: (a) Any individual may request amendment of a record pertaining to himself or herself according to the procedure in paragraph (b) of this section, except in the case of records described under paragraph (d) of this section. (b) After inspection by an individual of a record pertaining to himself or herself, the individual may file a written request, presented in person or by mail, with the Administrative Officer, for an amendment to a record. The request must specify the particular portions of the record to be amended, the desired amendments and the reasons therefor. (c) Not later than ten (10) days (excluding Saturdays, Sundays, and VerDate Mar<15>2010 19:17 Jun 27, 2013 Jkt 229001 legal holidays) after the receipt of a request made in accordance with this section to amend a record in whole or in part, the Administrative Officer will: (1) Make any correction of any portion of the record which the individual believes is not accurate, relevant, timely or complete and thereafter inform the individual of such correction; or (2) Inform the individual, by certified mail return receipt requested, of the refusal to amend the record, setting forth the reasons therefor, and notify the individual of the right to appeal that determination as provided under 45 CFR 503.8. (d) The provisions for amending records do not apply to evidence presented in the course of Commission proceedings in the adjudication of claims, nor do they permit collateral attack upon what has already been subject to final agency action in the adjudication of claims in programs previously completed by the Commission pursuant to statutory time limitations. RECORD SOURCE CATEGORIES: Claimant on whom the record is maintained. EXEMPTIONS CLAIMED FOR THE SYSTEM: None. [FR Doc. 2013–15478 Filed 6–27–13; 8:45 am] BILLING CODE 4410–BA–P DEPARTMENT OF LABOR Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Compensation by a Dependent Information Reports Office of the Secretary, DOL. Notice. AGENCY: ACTION: On July 1, 2013, the Department of Labor (DOL) will submit the Office of Workers’ Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ‘‘Claim for Compensation by a Dependent Information Reports,’’ to the Office of Management and Budget (OMB) for review and approval for use in accordance with the Paperwork Reduction Act (PRA) of 1995. DATES: Submit comments on or before July 31, 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 https:// SUMMARY: PO 00000 Frm 00103 Fmt 4703 Sfmt 4703 www.reginfo.gov/public/do/ PRAViewICR?ref_nbr=201302-1240-001 (this link will only become active on July 2, 2013) or by contacting Michel Smyth by telephone at 202–693–4129 (this is not a toll-free number) or sending an email to DOL_PRA_PUBLIC@dol.gov. 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: OIRA_submission@omb.eop.gov. FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 202–693–4129 (this is not a toll-free number) or by email at DOL_PRA_PUBLIC@dol.gov. SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3507(a)(1)(D). This ICR covers forms a dependent of a deceased Federal employee, whose death is work-related, uses to prove continued eligibility for benefits, to show entitlement to remaining compensation payments of the deceased employee, and to show dependency. The collection of this information is required by 5 U.S.C. 8110 and regulations 20 CFR 10.7, 10.105, 10.410, 10.413, 10.417, 10.535, and 10.537. Specifically, this ICR covers Forms CA– 5, CA–5b, CA–1031, and CA–1074, as well as related form letters used to obtain follow-up information commonly needed to clarify an initial benefit claim. This ICR seeks to revise Forms CA–5 and CA–5b, in order to collect information that will allow for the direct deposit of benefit payments into a beneficiary’s account with a financial institution. In addition, the OWCP is adding information about how a respondent with a disability may obtain further assistance in responding to the forms and letters covered by this ICR. For additional substantive information about this ICR, see the related notice published in the Federal Register on March 12, 2013 (78 FR 15742). 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 E:\FR\FM\28JNN1.SGM 28JNN1 tkelley on DSK3SPTVN1PROD with NOTICES Federal Register / Vol. 78, No. 125 / Friday, June 28, 2013 / Notices 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 1240–0013. The current approval is scheduled to expire on July 31, 2013; however, it should be noted that existing information collection requirements submitted to the OMB receive a month-to-month extension while they undergo review. New requirements 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 by July 31, 2013. In order to help ensure appropriate consideration, comments should mention OMB Control Number 1240–0013. 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: Claim for Compensation by a Dependent Information Reports. OMB Control Number: 1240–0013. Affected Public: Individuals or households. Total Estimated Number of Respondents: 2,920. Total Estimated Number of Responses: 2,920. Total Estimated Annual Burden Hours: 1,571. Total Estimated Annual Other Costs Burden: $1,431. Dated: June 24, 2013. Michel Smyth, Departmental Clearance Officer. [FR Doc. 2013–15540 Filed 6–27–13; 8:45 am] BILLING CODE 4510–CH–P VerDate Mar<15>2010 19:17 Jun 27, 2013 Jkt 229001 DEPARTMENT OF LABOR Office of the Secretary Agency Information Collection Activities; Submission for OMB Review; Comment Request; Work Application and Job Order Recordkeeping ACTION: Notice. The Department of Labor (DOL) is submitting the Employment and Training Administration (ETA) sponsored information collection request (ICR) titled, ‘‘Work Application and Job Order Recordkeeping,’’ to the Office of Management and Budget (OMB) for review and approval for continued use, without change, in accordance with the Paperwork Reduction Act (PRA) of 1995 (44 U.S.C. 3501 et seq.). DATES: Submit comments on or before July 29, 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 https:// www.reginfo.gov/public/do/ PRAViewICR?ref_nbr=201212–1205–007 (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 DOL_PRA_PUBLIC@dol.gov. Submit comments about this request to the Office of Information and Regulatory Affairs, Attn: OMB Desk Officer for DOL–ETA, 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: OIRA_submission@omb.eop.gov. SUMMARY: FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 202–693–4129 (this is not a toll-free number) or by email at DOL_PRA_PUBLIC@dol.gov. Authority: 44 U.S.C. 3507(a)(1)(D). This ICR is to maintain OMB approval under the PRA for the information collections associated with the regulatory requirement at 20 CFR 652.8(d)(5) for States to maintain work applications and job orders for one year. A work application is used in an American Job Center for individuals seeking assistance in finding employment or employability development services. A work application is used to collect SUPPLEMENTARY INFORMATION: PO 00000 Frm 00104 Fmt 4703 Sfmt 4703 39015 information such as an applicant’s identification, qualifications, work experience, and desired pay. A work application also includes services provided to the applicant, such as job development, and referral to supportive service. A job order is used in an American Job Center to obtain information on employer job vacancies. Information in a job order includes employer identification, job requirements, pay information, as well as identification of persons referred, hired, or refused. The information is collected at the employer’s request in order to publicize job vacancies. American Job Centers collect the information and post it on electronic job banks. For additional substantive information about this ICR, see the related notice published in the Federal Register on February 6, 2013 (78 FR 8584). 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 1205–0001. OMB authorization for an ICR cannot be for more than three (3) years without renewal, and the current approval for this collection is scheduled to expire on June 30, 2013. The DOL seeks to extend PRA authorization for this information collection for three (3) more years, without any change to existing requirements. It should also be noted that existing information collection requirements submitted to the OMB receive a month-to-month extension while they undergo review. 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 1205– 0001. 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 E:\FR\FM\28JNN1.SGM 28JNN1

Agencies

DEPARTMENT OF LABOR

[Federal Register Volume 78, Number 125 (Friday, June 28, 2013)]
[Notices]
[Pages 39014-39015]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-15540]


=======================================================================
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DEPARTMENT OF LABOR


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Claim for Compensation by a Dependent 
Information Reports

AGENCY: Office of the Secretary, DOL.

ACTION: Notice.

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

SUMMARY: On July 1, 2013, the Department of Labor (DOL) will submit the 
Office of Workers' Compensation Programs (OWCP) sponsored information 
collection request (ICR) revision titled, ``Claim for Compensation by a 
Dependent Information Reports,'' to the Office of Management and Budget 
(OMB) for review and approval for use in accordance with the Paperwork 
Reduction Act (PRA) of 1995.

DATES: Submit comments on or before July 31, 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 https://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201302-1240-001 (this link will only become active 
on July 2, 2013) or by contacting Michel Smyth by telephone at 202-693-
4129 (this is not a toll-free number) or sending an email to DOL_PRA_PUBLIC@dol.gov.
    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: 
OIRA_submission@omb.eop.gov.

FOR FURTHER INFORMATION CONTACT: Contact Michel Smyth by telephone at 
202-693-4129 (this is not a toll-free number) or by email at DOL_PRA_PUBLIC@dol.gov.

SUPPLEMENTARY INFORMATION: Authority: 44 U.S.C. 3507(a)(1)(D).
    This ICR covers forms a dependent of a deceased Federal employee, 
whose death is work-related, uses to prove continued eligibility for 
benefits, to show entitlement to remaining compensation payments of the 
deceased employee, and to show dependency. The collection of this 
information is required by 5 U.S.C. 8110 and regulations 20 CFR 10.7, 
10.105, 10.410, 10.413, 10.417, 10.535, and 10.537. Specifically, this 
ICR covers Forms CA-5, CA-5b, CA-1031, and CA-1074, as well as related 
form letters used to obtain follow-up information commonly needed to 
clarify an initial benefit claim.
    This ICR seeks to revise Forms CA-5 and CA-5b, in order to collect 
information that will allow for the direct deposit of benefit payments 
into a beneficiary's account with a financial institution. In addition, 
the OWCP is adding information about how a respondent with a disability 
may obtain further assistance in responding to the forms and letters 
covered by this ICR. For additional substantive information about this 
ICR, see the related notice published in the Federal Register on March 
12, 2013 (78 FR 15742).
    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

[[Page 39015]]

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 1240-0013. The current approval is scheduled to expire on July 
31, 2013; however, it should be noted that existing information 
collection requirements submitted to the OMB receive a month-to-month 
extension while they undergo review. New requirements 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 by July 31, 2013. In order to help ensure 
appropriate consideration, comments should mention OMB Control Number 
1240-0013. 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: Claim for Compensation by a Dependent 
Information Reports.
    OMB Control Number: 1240-0013.
    Affected Public: Individuals or households.
    Total Estimated Number of Respondents: 2,920.
    Total Estimated Number of Responses: 2,920.
    Total Estimated Annual Burden Hours: 1,571.
    Total Estimated Annual Other Costs Burden: $1,431.

    Dated: June 24, 2013.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2013-15540 Filed 6-27-13; 8:45 am]
BILLING CODE 4510-CH-P

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