Proposed Extension of Existing Collections; Comment Request, 12129-12130 [2016-05143]
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Federal Register / Vol. 81, No. 45 / Tuesday, March 8, 2016 / Notices
Office of the Secretary
Agency Information Collection
Activities; Submission for OMB
Review; Comment Request; Benefit
Rights and Experience Report
ACTION:
Notice.
The Department of Labor
(DOL) is submitting the Employment
and Training Administration (ETA)
sponsored information collection
request (ICR) revision titled, ‘‘Benefit
Rights and Experience Report,’’ to the
Office of Management and Budget
(OMB) for review and approval for use
in accordance with the Paperwork
Reduction Act (PRA) of 1995 (44 U.S.C.
3501 et seq.). Public comments on the
ICR are invited.
DATES: The OMB will consider all
written comments that agency receives
on or before April 7, 2016.
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=201512-1205-002
(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, TTY 202–
693–8064, (these are not toll-free
numbers) or sending an email to DOL_
PRA_PUBLIC@dol.gov.
Submit comments about this request
by mail or courier 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; by Fax: 202–
395–5806 (this is not a toll-free
number); or by email: OIRA_
submission@omb.eop.gov. Commenters
are encouraged, but not required, to
send a courtesy copy of any comments
by mail or courier to the U.S.
Department of Labor—OASAM, Office
of the Chief Information Officer, Attn:
Departmental Information Compliance
Management Program, Room N1301,
200 Constitution Avenue NW.,
Washington, DC 20210; or by email:
DOL_PRA_PUBLIC@dol.gov.
FOR FURTHER INFORMATION CONTACT:
Contact Michel Smyth by telephone at
202–693–4129, TTY 202–693–8064,
(these are not toll-free numbers) or
sending an email to DOL_PRA_
PUBLIC@dol.gov.
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SUMMARY:
Authority: 44 U.S.C. 3507(a)(1)(D).
VerDate Sep<11>2014
17:02 Mar 07, 2016
This ICR
seeks approval under the PRA for
revisions to the Benefit Rights and
Experience Report, Form ETA–218,
information collection. In order for an
individual to be eligible for a State
unemployment compensation program,
the claimant must meet certain
requirements that demonstrate
attachment to the labor force. The vast
majority of states use past wages for this
purpose, however, a few States use
actual weeks of work. A State reports
information relative to this first test of
eligibility—known as monetary
eligibility—on Form ETA–218, which
includes counts on number of
individuals who were and were not
monetarily eligible, those eligible for the
maximum benefits, the number of newly
eligible claimants categorized by
potential duration, and the number of
persons who exhausted benefits
categorized by their actual duration.
This information collection has been
classified as a revision, because the
Extended Unemployment Compensation
program has ended; therefore,
maintaining the related information
collection requirements no longer has
practical utility. Social Security Act
section 303(a)(6) authorizes this
information collection. See 42 U.S.C.
503(a)(6).
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 1205–0177. The current
approval is scheduled to expire on May
31, 2016; however, the DOL notes 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. For additional
substantive information about this ICR,
see the related notice published in the
Federal Register on September 28, 2015
(80 FR 58299).
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 thirty (30) days of
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF LABOR
Jkt 238001
PO 00000
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12129
publication of this notice in the Federal
Register. In order to help ensure
appropriate consideration, comments
should mention OMB Control Number
1205–0177. 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–ETA.
Title of Collection: Benefit Rights and
Experience Report.
OMB Control Number: 1205–0177.
Affected Public: State, Local, and
Tribal Governments.
Total Estimated Number of
Respondents: 55.
Total Estimated Number of
Responses: 216.
Total Estimated Annual Time Burden:
108 hours.
Total Estimated Annual Other Costs
Burden: $0.
Dated: March 2, 2016.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016–05067 Filed 3–7–16; 8:45 am]
BILLING CODE 4510–FN–P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Proposed Extension of Existing
Collections; Comment Request
Office of Workers’
Compensation Programs, Labor.
ACTION: Notice.
AGENCY:
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
SUMMARY:
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12130
Federal Register / Vol. 81, No. 45 / Tuesday, March 8, 2016 / Notices
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, CA–1074, 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.
Written comments must be
submitted to the office listed in the
ADDRESSES section below on or before
May 9, 2016.
ADDRESSES: Ms. Yoon Ferguson, U.S.
Department of Labor, 200 Constitution
Ave. NW., Room S–3323, Washington,
DC 20210, telephone/fax (202) 354–
9647, Email ferguson.yoon@dol.gov.
Please use only one method of
transmission for comments (mail, fax, or
Email).
SUPPLEMENTARY INFORMATION:
DATES:
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 items 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 August 31, 2016.
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;
Time to
complete
(min)
Form/Letter
* 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: 1240–0013.
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: 1,675.
Total Responses: 1,675.
Frequency of
response
Number of
respondents
Hours burden
90
90
20
60
30
30
1
1
1
1
1
1
129
7
83
5
1,111
340
194
11
28
5
556
170
Totals ........................................................................................................
asabaliauskas on DSK3SPTVN1PROD with NOTICES
CA–5 ................................................................................................................
CA–5b ..............................................................................................................
CA–1031 ..........................................................................................................
CA–1074 ..........................................................................................................
Student Dependency .......................................................................................
Comp Due at Death .........................................................................................
........................
........................
1,675
964
Estimated Total Burden Hours: 964.
Total Burden Cost (capital/startup):
$0.
Total Burden Cost (operating/
maintenance): $871.
Comments submitted in response to
this notice will be summarized and/or
included in the request for Office of
VerDate Sep<11>2014
17:02 Mar 07, 2016
Jkt 238001
Management and Budget approval of the
information collection request; they will
also become a matter of public record.
PO 00000
Dated: March 3, 2016.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs U.S. Department of
Labor.
[FR Doc. 2016–05143 Filed 3–7–16; 8:45 am]
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]]>Agencies
[Federal Register Volume 81, Number 45 (Tuesday, March 8, 2016)]
[Notices]
[Pages 12129-12130]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-05143]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Proposed Extension of Existing Collections; Comment Request
AGENCY: Office of Workers' Compensation Programs, Labor.
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
[[Page 12130]]
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,
CA-1074, 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 May 9, 2016.
ADDRESSES: Ms. Yoon Ferguson, U.S. Department of Labor, 200
Constitution Ave. NW., Room S-3323, Washington, DC 20210, telephone/fax
(202) 354-9647, Email ferguson.yoon@dol.gov. Please use only one method
of transmission for comments (mail, fax, or Email).
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 items 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 August 31, 2016.
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: 1240-0013.
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: 1,675.
Total Responses: 1,675.
----------------------------------------------------------------------------------------------------------------
Time to Frequency of Number of
Form/Letter complete (min) response respondents Hours burden
----------------------------------------------------------------------------------------------------------------
CA-5............................................ 90 1 129 194
CA-5b........................................... 90 1 7 11
CA-1031......................................... 20 1 83 28
CA-1074......................................... 60 1 5 5
Student Dependency.............................. 30 1 1,111 556
Comp Due at Death............................... 30 1 340 170
---------------------------------------------------------------
Totals...................................... .............. .............. 1,675 964
----------------------------------------------------------------------------------------------------------------
Estimated Total Burden Hours: 964.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $871.
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: March 3, 2016.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs U.S.
Department of Labor.
[FR Doc. 2016-05143 Filed 3-7-16; 8:45 am]
BILLING CODE 4510-CH-P
