80 FR 47527 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Statement of Recovery Forms

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 80, Issue 152 (August 7, 2015)

The Department of Labor (DOL) is submitting the Office of Workers' Compensation Programs (OWCP) sponsored information collection request (ICR) revision titled, ``Statement of Recovery Forms,'' 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.

[Federal Register Volume 80, Number 152 (Friday, August 7, 2015)]
[Notices]
[Page 47527]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-19457]



[[Page 47527]]

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DEPARTMENT OF LABOR

Office of the Secretary


Agency Information Collection Activities; Submission for OMB 
Review; Comment Request; Statement of Recovery Forms

ACTION: Notice.

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SUMMARY: The Department of Labor (DOL) is submitting the Office of 
Workers' Compensation Programs (OWCP) sponsored information collection 
request (ICR) revision titled, ``Statement of Recovery Forms,'' 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 September 8, 2015.

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 http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201504-1240-001 (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 [email protected].
    Submit comments about this request by mail or courier 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; by Fax: 202-395-5806 (this is not a toll-free 
number); or by email: [email protected]. 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: [email protected].
    For Further Information: Contact Michel Smyth by telephone at 202-
693-4129, TTY 202-693-8064, (these are not toll-free numbers) or 
sending an email to [email protected].

    Authority: 44 U.S.C. 3507(a)(1)(D).

SUPPLEMENTARY INFORMATION: This ICR seeks approval under the PRA for 
revisions to the Statement of Recovery Forms information collection 
(Forms CA-1108 and CA-1122). The forms are used to obtain information 
about amounts received from a final judgments in litigation, or a 
settlement of the litigation, brought against a third party who is 
liable for damages due to a Federal employee comprehensive work-related 
injury. A Federal employee can sustain a work-related injury, for which 
he or she is eligible for compensation under the Federal Employees' 
Compensation Act (FECA), under circumstances that also create a legal 
liability for some third party to pay damages for the same injury. When 
this occurs, the FECA authorizes the Secretary of Labor either to 
require the employee to assign his or her right of action to the United 
States or to prosecute the action. See 5 U.S.C. 8131. An employee 
receiving a judgment or a settlement of the action must reimburse the 
United States (U.S.) for past compensation payments; if there are 
surplus future compensation payments, the FECA provides that the 
employee must refund to the U.S. the amount of compensation paid by the 
U.S. and credit any surplus on future payments of compensation. See 5 
U.S.C. 8132. This information collection has been classified as a 
revision, because the OWCP has updated Form CA-1108 so that it 
automatically calculates attorney fee and court cost information, 
provides information about the employee's net entitlement, clarifies 
the instructions, and includes the case file number; Form CA-1122 has 
been changed to include the case file number and employee's name. The 
FECA authorizes this information collection. See 5 U.S.C. 8121, 8132, 
8149
    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 1240-0001. The current approval is scheduled to 
expire on August 31, 2015; 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 May 11, 2015 (80 FR 26955).
    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 publication of this 
notice in the Federal Register. In order to help ensure appropriate 
consideration, comments should mention OMB Control Number 1240-0001. 
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 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: Statement of Recovery Forms.
    OMB Control Number: 1240-0001.
    Affected Public: Individuals or Households and Private Sector--
businesses or other for-profits.
    Total Estimated Number of Respondents: 842.
    Total Estimated Number of Responses: 842.
    Total Estimated Annual Time Burden: 419.
    Total Estimated Annual Other Costs Burden: $219.

    Dated: August 3, 2015.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2015-19457 Filed 8-6-15; 8:45 am]
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