Proposed Extension of Existing Collection; Comment Request, 44910 [2018-19165]
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Federal Register / Vol. 83, No. 171 / Tuesday, September 4, 2018 / Notices
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Proposed Extension of Existing
Collection; Comment Request
Division of Federal Employees’
Compensation, Office of Workers’
Compensation Programs, Department of
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
and/or continuing collections of
information in accordance with the
Paperwork Reduction Act of 1995
(PRA95). 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 its proposal to extend OMB
approval of the information collection:
Statement of Recovery (SOR) Forms
(CA–1108 and CA–1122). 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
November 5, 2018.
ADDRESSES: You may submit comments
by mail, delivery service or by hand to
Ms. Yoon Ferguson, U.S. Department of
Labor, 200 Constitution Ave. NW, Room
S–3323, Washington, DC 20210; by fax
SUMMARY:
(202) 354–9647; or by Email
ferguson.yoon@dol.gov. Please use only
one method of transmission for
comments (mail/delivery, fax, or Email).
Please note that comments submitted
after the comment period will not be
considered.
SUPPLEMENTARY INFORMATION:
I. Background: A Federal employee
who sustains a work-related injury is
entitled to receive compensation under
the Federal Employees’ Compensation
Act (FECA). If that injury is caused
under circumstances that create a legal
liability in a third party to pay damages,
the FECA authorizes the Secretary of
Labor to require the employee to assign
his or her right of action to the United
States or to prosecute the action in his
or her own name. See 5 U.S.C. 8131.
When the employee receives a
payment for his or her damages,
whether from a final court judgment on
or a settlement of the action, section
8132 of the FECA (5 U.S.C. 8132)
provides that the employee ‘‘shall
refund to the United States that amount
of compensation paid by the United
States. . . .’’ To enforce the United
States’ statutory right of reimbursement,
the Office of Workers’ Compensation
Programs (OWCP) has promulgated
regulations. The regulations require a
FECA beneficiary to report these types
of payments (20 CFR 10.710) and submit
the detailed information necessary to
calculate the amount of the refund and
surplus, if any, according to the formula
in the statute (20 CFR 10.707(e)).
The information collected by Form
CA–1108 and Form CA–1122 from the
FECA beneficiary includes this
information and is necessary to
calculate the amount of the refund and
surplus owed to the United States from
the FECA beneficiary’s settlement or
judgment, as required in the statute and
the regulations. This information
collection is currently approved for use
through November 30, 2018.
Time to
complete
(min.)
sradovich on DSK3GMQ082PROD with NOTICES
Form
Frequency
of response
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 the approval for the
extension of this currently approved
information collection in order to
exercise its responsibility to enforce the
United States’ right to this refund. The
information collected with Form CA–
1108 and Form CA–1122 is used by SOL
personnel to determine the amount to be
reimbursed to the United States out of
the proceeds of an action asserted by an
injured Federal employee against a
liable third party for a compensable
injury.
Agency: Office of Workers’
Compensation Program.
Type of Review: Extension.
Title: Statement of Recovery Forms.
OMB Number: 1240–0001.
Agency Number: CA–1108 and CA–
1122.
Affected Public: Business or other forprofit, Individuals or households.
Number of
respondents
Number of
responses
Hours
burden
CA–1108 Business Respondent ..........................................
CA–1122 Individual Respondent .........................................
30
15
1
1
928
10
928
10
464
3
Totals ............................................................................
NA
NA
938
938
467
Total Respondents: 938.
Total Annual Responses: 938.
Average Time per Response: 15–30
minutes.
Estimated Total Burden Hours: 467.
Frequency: As needed.
Total Burden Cost (capital/startup):
$0.
VerDate Sep<11>2014
17:54 Aug 31, 2018
Jkt 244001
Total Burden Cost (operating/
maintenance): $249.
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.
PO 00000
Frm 00054
Fmt 4703
Sfmt 9990
Dated: August 27, 2018.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers’
Compensation Programs, US Department of
Labor.
[FR Doc. 2018–19165 Filed 8–31–18; 8:45 am]
BILLING CODE 4510–CH–P
E:\FR\FM\04SEN1.SGM
04SEN1
]]>Agencies
[Federal Register Volume 83, Number 171 (Tuesday, September 4, 2018)]
[Notices]
[Page 44910]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-19165]
[[Page 44910]]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Proposed Extension of Existing Collection; Comment Request
AGENCY: Division of Federal Employees' Compensation, Office of Workers'
Compensation Programs, Department of 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 and/or continuing
collections of information in accordance with the Paperwork Reduction
Act of 1995 (PRA95). 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 its proposal to
extend OMB approval of the information collection: Statement of
Recovery (SOR) Forms (CA-1108 and CA-1122). 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 November 5, 2018.
ADDRESSES: You may submit comments by mail, delivery service or by hand
to Ms. Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave.
NW, Room S-3323, Washington, DC 20210; by fax (202) 354-9647; or by
Email [email protected]. Please use only one method of transmission
for comments (mail/delivery, fax, or Email). Please note that comments
submitted after the comment period will not be considered.
SUPPLEMENTARY INFORMATION:
I. Background: A Federal employee who sustains a work-related
injury is entitled to receive compensation under the Federal Employees'
Compensation Act (FECA). If that injury is caused under circumstances
that create a legal liability in a third party to pay damages, the FECA
authorizes the Secretary of Labor to require the employee to assign his
or her right of action to the United States or to prosecute the action
in his or her own name. See 5 U.S.C. 8131.
When the employee receives a payment for his or her damages,
whether from a final court judgment on or a settlement of the action,
section 8132 of the FECA (5 U.S.C. 8132) provides that the employee
``shall refund to the United States that amount of compensation paid by
the United States. . . .'' To enforce the United States' statutory
right of reimbursement, the Office of Workers' Compensation Programs
(OWCP) has promulgated regulations. The regulations require a FECA
beneficiary to report these types of payments (20 CFR 10.710) and
submit the detailed information necessary to calculate the amount of
the refund and surplus, if any, according to the formula in the statute
(20 CFR 10.707(e)).
The information collected by Form CA-1108 and Form CA-1122 from the
FECA beneficiary includes this information and is necessary to
calculate the amount of the refund and surplus owed to the United
States from the FECA beneficiary's settlement or judgment, as required
in the statute and the regulations. This information collection is
currently approved for use through November 30, 2018.
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 the approval
for the extension of this currently approved information collection in
order to exercise its responsibility to enforce the United States'
right to this refund. The information collected with Form CA-1108 and
Form CA-1122 is used by SOL personnel to determine the amount to be
reimbursed to the United States out of the proceeds of an action
asserted by an injured Federal employee against a liable third party
for a compensable injury.
Agency: Office of Workers' Compensation Program.
Type of Review: Extension.
Title: Statement of Recovery Forms.
OMB Number: 1240-0001.
Agency Number: CA-1108 and CA-1122.
Affected Public: Business or other for-profit, Individuals or
households.
----------------------------------------------------------------------------------------------------------------
Time to
Form complete Frequency of Number of Number of Hours burden
(min.) response respondents responses
----------------------------------------------------------------------------------------------------------------
CA-1108 Business Respondent..... 30 1 928 928 464
CA-1122 Individual Respondent... 15 1 10 10 3
-------------------------------------------------------------------------------
Totals...................... NA NA 938 938 467
----------------------------------------------------------------------------------------------------------------
Total Respondents: 938.
Total Annual Responses: 938.
Average Time per Response: 15-30 minutes.
Estimated Total Burden Hours: 467.
Frequency: As needed.
Total Burden Cost (capital/startup): $0.
Total Burden Cost (operating/maintenance): $249.
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: August 27, 2018.
Yoon Ferguson,
Agency Clearance Officer, Office of Workers' Compensation Programs, US
Department of Labor.
[FR Doc. 2018-19165 Filed 8-31-18; 8:45 am]
BILLING CODE 4510-CH-P
