Agency Information Collection Activities; Comment Request; Federal Employees' Compensation Act Medical Reports and Compensation Claims, 72701-72702 [2020-25149]
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Federal Register / Vol. 85, No. 220 / Friday, November 13, 2020 / Notices
review intersection procedures before
the intersection occurs.
(xxv) Within 30 days of when this
PDO is finalized, the petitioner will
submit a revised emergency evacuation
and firefighting training program,
required by 30 CFR 75.1502. The
petitioner will revise the program to
incorporate hazards and evacuation
plans used for well intersection. All
underground miners will be trained in
the above plan revisions within 30 days
of submittal.
(xxvi) The petitioner asserts that the
proposed alternative method will at all
times guarantee no less than the same
measure of protection from the potential
hazards against which the existing
standard for 30 CFR 75.1700 is intended
to guard.
Roslyn Fontaine,
Deputy Director, Office of Standards,
Regulations, and Variances.
[FR Doc. 2020–25103 Filed 11–12–20; 8:45 am]
BILLING CODE 4520–43–P
DEPARTMENT OF LABOR
Office of Workers’ Compensation
Programs
Agency Information Collection
Activities; Comment Request; Federal
Employees’ Compensation Act Medical
Reports and Compensation Claims
Office of Workers’
Compensation, DOL.
ACTION: Notice.
AGENCY:
The Department of Labor
(DOL), is soliciting comments
concerning a proposed extension for the
authority to conduct the information
collection request (ICR) titled, ‘‘Medical
Forms and Claim for Compensation.’’
This comment request is part of
continuing Departmental efforts to
reduce paperwork and respondent
burden in accordance with the
Paperwork Reduction Act of 1995
(PRA).
SUMMARY:
Consideration will be given to all
written comments received by January
12, 2021.
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 by contacting
Anjanette Suggs by telephone at 202–
354–9660 or by email at
suggs.anjanette@dol.gov.
Submit written comments about, or
requests for a copy of, this ICR by mail
or courier to the U.S. Department of
jbell on DSKJLSW7X2PROD with NOTICES
DATES:
VerDate Sep<11>2014
17:19 Nov 12, 2020
Jkt 253001
Labor, Office of Workers’ Compensation
Programs, Room S3323, 200
Constitution Avenue NW, Washington,
DC 20210; by email: suggs.anjanette@
dol.gov.
FOR FURTHER INFORMATION CONTACT:
Anjanette Suggs by telephone at 202–
354–9660 or by email at
suggs.anjanette@dol.gov.
SUPPLEMENTARY INFORMATION: The DOL,
as part of continuing efforts to reduce
paperwork and respondent burden,
conducts a pre-clearance consultation
program to provide the general public
and Federal agencies an opportunity to
comment on proposed and/or
continuing collections of information
before submitting them to the OMB for
final approval. This program helps to
ensure 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 can be properly
assessed.
Background: The Office of Worker’s
Compensation Programs (OWCP)
administers the Federal Employees’
Compensation Act (FECA). 5 U.S.C.
8149, Congress gives the Secretary of
Labor authority to prescribe the rules
and regulations necessary for the
administration and enforcement of the
FECA. 5 U.S.C. 8102, the FECA requires
the United States to provide
compensation to individuals who
sustain an injury while in the course of
federal employment. 5 U.S.C. 8103,
authorizes FECA to provide medical and
initial medical and other benefits.
5 U.S.C. 8102, Compensation for
Disability or Death of Employee
(a) The United States shall pay
compensation as specified by this
subchapter for the disability or death of
an employee resulting from personal
injury sustained while in the
performance of his duty, unless the
injury or death is—
(1) caused by willful misconduct of
the employee;
(2) caused by the employee’s
intention to bring about the injury or
death of himself or of another; or
(3) proximately caused by the
intoxication of the injured employee.
(b) Disability or death from a war-risk
hazard or during or as a result of
capture, detention, or other restraint by
a hostile force or individual, suffered by
an employee who is employed outside
the continental United States or in
Alaska or in the areas and installations
in the Republic of Panama made
available to the United States pursuant
to the Panama Canal Treaty of 1977 and
PO 00000
Frm 00082
Fmt 4703
Sfmt 4703
72701
related agreements (as described in
section 3(a) of the Panama Canal Act of
1979), is deemed to have resulted from
personal injury sustained while in the
performance of his duty, whether or not
the employee was engaged in the course
of employment when the disability or
disability resulting in death occurred or
when he was taken by the hostile force
or individual. This subsection does not
apply to an individual—
(1) whose residence is at or in the
vicinity of the place of his employment
and who was not living there solely
because of the exigencies of his
employment, unless he was injured or
taken while engaged in the course of his
employment; or
(2) who is a prisoner of war or a
protected individual under the Geneva
Conventions of 1949 and is detained or
utilized by the United States.
5 U.S.C. 8103, Medical Services and
Initial Medical and Other Benefits
(a) The United States shall furnish to
an employee who is injured while in the
performance of duty, the services,
appliances, and supplies prescribed or
recommended by a qualified physician,
which the Secretary of Labor considers
likely to cure, give relief, reduce the
degree or the period of disability, or aid
in lessening the amount of the monthly
compensation. These services,
appliances, and supplies shall be
furnished—
(1) whether or not disability has
arisen;
(2) notwithstanding that the employee
has accepted or is entitled to receive
benefits under subchapter III of chapter
83 of this title or another retirement
system for employees of the
Government; and
(3) by or on the order of United States
medical officers and hospitals, or, at the
employee’s option, by or on the order of
physicians and hospitals designated or
approved by the Secretary. The
employee may initially select a
physician to provide medical services,
appliances, and supplies, in accordance
with such regulations and instructions
as the Secretary considers necessary,
and may be furnished necessary and
reasonable transportation and expenses
incident to the securing of such
services, appliances, and supplies.
These expenses, when authorized or
approved by the Secretary, shall be paid
from the Employees’ Compensation
Fund.
The following forms and letters are
the standard forms and letters for the
collection of this information: Claim for
Compensation (CA–7); Authorization for
Examination and/or Treatment (CA–16);
Duty Status Report (CA–17); Attending
E:\FR\FM\13NON1.SGM
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jbell on DSKJLSW7X2PROD with NOTICES
72702
Federal Register / Vol. 85, No. 220 / Friday, November 13, 2020 / Notices
Physician’s Report (CA–20); Request for
the Services of an Attendant (CA–1090);
Referral to a Medical Specialist (CA–
1305); OWCP Requirements for
Audiological Examination (CA–1087);
Referral for a Complete Audiologic and
Otologic Examination (CA–1331);
Outline for Audiologic Examination
(CA–1332); Work Capacity Evaluation,
Psychiatric/Psychological Conditions
(OWCP–5a); Work Capacity Evaluation,
Cardiovascular/Pulmonary Conditions
(OWCP–5b); and Work Capacity
Evaluation, Musculoskeletal Conditions
(OWCP–5c). This information collection
is currently approved for use through
March 31, 2021. 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 the OMB
under the PRA approves it and displays
a currently valid OMB Control Number.
In addition, notwithstanding any other
provisions of law, no person 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.
Interested parties are encouraged to
provide comments to the contact shown
in the ADDRESSES section. Written
comments will receive consideration,
and summarized and included in the
request for OMB approval of the final
ICR. In order to help ensure appropriate
consideration, comments should
mention OMB Number 1240–0046.
Submitted comments will also be a
matter of public record for this ICR and
posted on the internet, without
redaction. The DOL encourages
commenters not to include personally
identifiable information, confidential
business data, or other sensitive
statements/information in any
comments.
The DOL 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,
VerDate Sep<11>2014
17:19 Nov 12, 2020
Jkt 253001
electronic, mechanical, or other
technological collection techniques or
other forms of information technology,
e.g., permitting electronic submission of
responses.
Agency: DOL-Office of Workers’
Compensation Programs.
Type of Review: Extension.
Agency: Office of Workers’
Compensation Programs.
Title of Collection: FECA medical
Reports, Claim for Compensation.
Form: CA–7; CA–16; CA–17; CA–20;
CA–1090; CA–1305; CA–1087; CA–
1331; CA–1332; OWCP–5a; OWCP–5b;
and OWCP–5c.
OMB Number: 1240–0046.
Affected Public: Individuals or
households.
Estimated Number of Respondents:
282, 353.
Frequency: As needed.
Total Estimated Annual Responses:
282, 353.
Estimated Average Time per
Response: 5–30 minutes.
Estimated Total Annual Burden
Hours: Hours 25,605.
Total Estimated Annual Other Cost
Burden: $110,118.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2020–25149 Filed 11–12–20; 8:45 am]
BILLING CODE 4510–CH–P
NATIONAL AERONAUTICS AND
SPACE ADMINISTRATION
[Notice: [20–093]]
Name of Information Collection: NASA
STEM Gateway Performance
Management and Third-Party
Experience
National Aeronautics and
Space Administration (NASA).
ACTION: Notice of new information
collection.
AGENCY:
The National Aeronautics and
Space Administration has submitted for
OMB review a request regarding this
information collection under the
provisions of the Paperwork Reduction
Act.
DATES: Comments are due by December
14, 2020.
ADDRESSES: Written comments and
recommendations for this information
collection should be sent within 30 days
of publication of this notice to
www.reginfo.gov/public/do/PRAMain.
Find this particular information
collection by selecting ‘‘Currently under
30-day Review-Open for Public
SUMMARY:
PO 00000
Frm 00083
Fmt 4703
Sfmt 4703
Comments’’ or by using the search
function.
FOR FURTHER INFORMATION CONTACT:
Requests for additional information or
copies of the information collection
instrument(s) and instructions should
be directed to Lori Parker, NASA
Clearance Officer, at 202–358–1351 or
Lori.Parker@nasa.gov.
SUPPLEMENTARY INFORMATION:
I. Abstract
The NASA STEM Gateway (NASA’s
universal registration and data
management system) is a
comprehensive tool designed to allow
learners (i.e., students and educators) to
apply to NASA STEM engagement
opportunities (e.g., internships,
fellowships, challenges, educator
professional development, experiential
learning activities, etc.) in a single
location. NASA personnel manage the
selection of applicants and
implementation of engagement
opportunities within the NASA STEM
Gateway. In addition to supporting
student selection, student-level data
will enable NASA Office of STEM
Engagement (OSTEM) to fulfill federally
mandated performance and evaluation
reporting on its STEM engagement
activities and report relevant
demographic information as needed for
Agency performance goals and success
criteria (annual performance indicators).
Information collected will be used by
the NASA OSTEM to establish better
defined goals, outcomes, and standards
for measuring progress and also to
evaluate the outcomes of NASA’s STEM
Engagement programs and activities.
This process of improvement will
enhance NASA’s strategic planning,
performance planning, and performance
reporting efforts as required by the
GPRA Modernization Act of 2010 and
Evidence-Based Policymaking Act of
2018.
II. Methods of Collection
Online/Web-Based
III. Data
Title: NASA STEM Gateway
Performance Management and Third
Party Experience.
OMB Number: New Collection.
Type of Review: Request for a new
OMB Control Number.
Affected Public: Third-Party
(Principal Investigators and Evaluators).
Estimated Annual Number of
Activities: 4.
Estimated Number of Respondents
per Activity: 250.
Annual Responses: 1,000.
Estimated Time per Response: 60
minutes.
E:\FR\FM\13NON1.SGM
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]]>Agencies
[Federal Register Volume 85, Number 220 (Friday, November 13, 2020)]
[Notices]
[Pages 72701-72702]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-25149]
-----------------------------------------------------------------------
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs
Agency Information Collection Activities; Comment Request;
Federal Employees' Compensation Act Medical Reports and Compensation
Claims
AGENCY: Office of Workers' Compensation, DOL.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Department of Labor (DOL), is soliciting comments
concerning a proposed extension for the authority to conduct the
information collection request (ICR) titled, ``Medical Forms and Claim
for Compensation.'' This comment request is part of continuing
Departmental efforts to reduce paperwork and respondent burden in
accordance with the Paperwork Reduction Act of 1995 (PRA).
DATES: Consideration will be given to all written comments received by
January 12, 2021.
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 by
contacting Anjanette Suggs by telephone at 202-354-9660 or by email at
[email protected].
Submit written comments about, or requests for a copy of, this ICR
by mail or courier to the U.S. Department of Labor, Office of Workers'
Compensation Programs, Room S3323, 200 Constitution Avenue NW,
Washington, DC 20210; by email: [email protected].
FOR FURTHER INFORMATION CONTACT: Anjanette Suggs by telephone at 202-
354-9660 or by email at [email protected].
SUPPLEMENTARY INFORMATION: The DOL, as part of continuing efforts to
reduce paperwork and respondent burden, conducts a pre-clearance
consultation program to provide the general public and Federal agencies
an opportunity to comment on proposed and/or continuing collections of
information before submitting them to the OMB for final approval. This
program helps to ensure 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 can be properly assessed.
Background: The Office of Worker's Compensation Programs (OWCP)
administers the Federal Employees' Compensation Act (FECA). 5 U.S.C.
8149, Congress gives the Secretary of Labor authority to prescribe the
rules and regulations necessary for the administration and enforcement
of the FECA. 5 U.S.C. 8102, the FECA requires the United States to
provide compensation to individuals who sustain an injury while in the
course of federal employment. 5 U.S.C. 8103, authorizes FECA to provide
medical and initial medical and other benefits.
5 U.S.C. 8102, Compensation for Disability or Death of Employee
(a) The United States shall pay compensation as specified by this
subchapter for the disability or death of an employee resulting from
personal injury sustained while in the performance of his duty, unless
the injury or death is--
(1) caused by willful misconduct of the employee;
(2) caused by the employee's intention to bring about the injury or
death of himself or of another; or
(3) proximately caused by the intoxication of the injured employee.
(b) Disability or death from a war-risk hazard or during or as a
result of capture, detention, or other restraint by a hostile force or
individual, suffered by an employee who is employed outside the
continental United States or in Alaska or in the areas and
installations in the Republic of Panama made available to the United
States pursuant to the Panama Canal Treaty of 1977 and related
agreements (as described in section 3(a) of the Panama Canal Act of
1979), is deemed to have resulted from personal injury sustained while
in the performance of his duty, whether or not the employee was engaged
in the course of employment when the disability or disability resulting
in death occurred or when he was taken by the hostile force or
individual. This subsection does not apply to an individual--
(1) whose residence is at or in the vicinity of the place of his
employment and who was not living there solely because of the
exigencies of his employment, unless he was injured or taken while
engaged in the course of his employment; or
(2) who is a prisoner of war or a protected individual under the
Geneva Conventions of 1949 and is detained or utilized by the United
States.
5 U.S.C. 8103, Medical Services and Initial Medical and Other Benefits
(a) The United States shall furnish to an employee who is injured
while in the performance of duty, the services, appliances, and
supplies prescribed or recommended by a qualified physician, which the
Secretary of Labor considers likely to cure, give relief, reduce the
degree or the period of disability, or aid in lessening the amount of
the monthly compensation. These services, appliances, and supplies
shall be furnished--
(1) whether or not disability has arisen;
(2) notwithstanding that the employee has accepted or is entitled
to receive benefits under subchapter III of chapter 83 of this title or
another retirement system for employees of the Government; and
(3) by or on the order of United States medical officers and
hospitals, or, at the employee's option, by or on the order of
physicians and hospitals designated or approved by the Secretary. The
employee may initially select a physician to provide medical services,
appliances, and supplies, in accordance with such regulations and
instructions as the Secretary considers necessary, and may be furnished
necessary and reasonable transportation and expenses incident to the
securing of such services, appliances, and supplies. These expenses,
when authorized or approved by the Secretary, shall be paid from the
Employees' Compensation Fund.
The following forms and letters are the standard forms and letters
for the collection of this information: Claim for Compensation (CA-7);
Authorization for Examination and/or Treatment (CA-16); Duty Status
Report (CA-17); Attending
[[Page 72702]]
Physician's Report (CA-20); Request for the Services of an Attendant
(CA-1090); Referral to a Medical Specialist (CA-1305); OWCP
Requirements for Audiological Examination (CA-1087); Referral for a
Complete Audiologic and Otologic Examination (CA-1331); Outline for
Audiologic Examination (CA-1332); Work Capacity Evaluation,
Psychiatric/Psychological Conditions (OWCP-5a); Work Capacity
Evaluation, Cardiovascular/Pulmonary Conditions (OWCP-5b); and Work
Capacity Evaluation, Musculoskeletal Conditions (OWCP-5c). This
information collection is currently approved for use through March 31,
2021. 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 the OMB under the PRA approves it and displays a
currently valid OMB Control Number. In addition, notwithstanding any
other provisions of law, no person 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.
Interested parties are encouraged to provide comments to the
contact shown in the ADDRESSES section. Written comments will receive
consideration, and summarized and included in the request for OMB
approval of the final ICR. In order to help ensure appropriate
consideration, comments should mention OMB Number 1240-0046.
Submitted comments will also be a matter of public record for this
ICR and posted on the internet, without redaction. The DOL encourages
commenters not to include personally identifiable information,
confidential business data, or other sensitive statements/information
in any comments.
The DOL 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-Office of Workers' Compensation Programs.
Type of Review: Extension.
Agency: Office of Workers' Compensation Programs.
Title of Collection: FECA medical Reports, Claim for Compensation.
Form: CA-7; CA-16; CA-17; CA-20; CA-1090; CA-1305; CA-1087; CA-
1331; CA-1332; OWCP-5a; OWCP-5b; and OWCP-5c.
OMB Number: 1240-0046.
Affected Public: Individuals or households.
Estimated Number of Respondents: 282, 353.
Frequency: As needed.
Total Estimated Annual Responses: 282, 353.
Estimated Average Time per Response: 5-30 minutes.
Estimated Total Annual Burden Hours: Hours 25,605.
Total Estimated Annual Other Cost Burden: $110,118.
Authority: 44 U.S.C. 3506(c)(2)(A).
Anjanette Suggs,
Agency Clearance Officer.
[FR Doc. 2020-25149 Filed 11-12-20; 8:45 am]
BILLING CODE 4510-CH-P
