81_FR_58101 81 FR 57937 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Compensation by a Dependent Information Reports

81 FR 57937 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Claim for Compensation by a Dependent Information Reports

DEPARTMENT OF LABOR
Office of the Secretary

Federal Register Volume 81, Issue 164 (August 24, 2016)

Page Range57937-57938
FR Document2016-20262

The Department of Labor (DOL) is submitting 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 (44 U.S.C. 3501 et seq.). Public comments on the ICR are invited.

Federal Register, Volume 81 Issue 164 (Wednesday, August 24, 2016) 
[Federal Register Volume 81, Number 164 (Wednesday, August 24, 2016)]
[Notices]
[Pages 57937-57938]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-20262]


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DEPARTMENT OF LABOR

Office of the Secretary


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

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, ``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

[[Page 57938]]

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 23, 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 http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201602-1240-003 (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: 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 Claim for Compensation by a Dependent Information 
Reports information collection. 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. 
Specifically, this ICR covers Forms CA-5 (Claim for Compensation by 
Widow, Widower, and/or Children), CA-5b (Claim for Compensation by 
Parents, Brothers, Sisters, Grandparents, or Grandchildren), CA-1031 
(Claimant Support of Dependent), and CA-1074 (Request for Clarification 
of CA-5b), as well as related form letters used to obtain follow-up 
information commonly needed to clarify an initial benefit claim. This 
information collection is considered a revision, because several 
clarifying changes were made to the forms and letters; however, the 
changes do not affect the estimated burden. Federal Employee 
Compensation Act as amended sections 28 and 32 authorize this 
information collection. See 5 U.S.C. 8145 and 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 1240-0013. The current approval is scheduled to 
expire on August 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 March 8, 2016 (81 FR 12129).
    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 1240-0013. 
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: 1,675.
    Total Estimated Number of Responses: 1,675.
    Total Estimated Annual Time Burden: 964 hours.
    Total Estimated Annual Other Costs Burden: $871.

    Dated: August 18, 2016.
Michel Smyth,
Departmental Clearance Officer.
[FR Doc. 2016-20262 Filed 8-23-16; 8:45 am]
 BILLING CODE 4510-CH-P

Federal Register / Vol. 81, No. 164 / Wednesday, August 24, 2016 / Notices 57937 States in the future, they must label DEPARTMENT OF JUSTICE (h) Summary, Next Steps, and Meeting them as not for use in the United States. Adjournment. Office of Justice Programs Registration: For security purposes, Under the Consent Decree, members of the public who wish to Defendants must also ensure that all of [OJP (OJJDP) Docket No. 1724] attend the meeting in-person must pre- their future motorcycle models intended register online at www.facjj.org no later for sale in the United States are certified Meeting of the Federal Advisory than Friday, September 23, 2016. by EPA. Committee on Juvenile Justice Should problems arise with web Finally, Defendants will pay a civil registration, contact Melissa Kanaya, penalty of $12 million and spend $3 AGENCY: Office of Juvenile Justice and Senior Program Manager/Federal million implementing a project to Delinquency Prevention, Justice. Contractor, at 202–532–0121, or send a mitigate excess hydrocarbon emissions ACTION: Notice of annual in-person request to register to Ms. Kanaya at by replacing conventional woodstoves meeting. Melissa.Kanaya@usdoj.gov. Please with cleaner-burning stoves. include name, title, organization or SUMMARY: The Office of Juvenile Justice other affiliation, full address and phone, The publication of this notice opens and Delinquency Prevention (OJJDP) has fax, and email information and send to a period for public comment on the scheduled an Annual Meeting of the her attention. Note that these are not Consent Decree. Comments should be Federal Advisory Committee on toll-free telephone numbers. Additional addressed to the Assistant Attorney Juvenile Justice (FACJJ). identification documents may be General, Environment and Natural DATES: The Annual Meeting will take required. Meeting space is limited. Note: Resources Division, and should refer to place on Thursday, September 29, 2016, Photo identification will be required for United States v. Harley-Davidson, Inc., at 8:30 a.m.–5 p.m. ET and Friday, admission to the meeting. et al., D.J. Ref. No. 90–5–2–1–11333. All September 30, 2016, at 8:30 a.m.–12:30 To view the webcast meeting, the comments must be submitted no later p.m. ET. public must pre-register online at than thirty (30) days after the ADDRESSES: The meeting will take place www.facjj.org, no later than Friday, publication date of this notice. in the third floor main conference room September 23, 2016. Upon registration, Comments may be submitted either by at the U.S. Department of Justice, Office information will be sent to you at the email or by mail: of Justice Programs, 810 7th St. NW., email address you provide to enable you Washington, DC 20531. to connect to the webcast. To submit FOR FURTHER INFORMATION CONTACT: Visit Written Comments: Interested parties Send them to: may submit written comments by email comments: the Web site www.facjj.org or contact Jeff Slowikowski, Designated Federal message in advance to Jeff Slowikowski, By email ....... pubcomment-ees.enrd@ Designated Federal Official, at usdoj.gov. Official, OJJDP, Jeff.Slowikowski@ usdoj.gov or (202) 616–3646. [This is not Jeff.Slowikowski@usdoj.gov, no later By mail ......... Assistant Attorney General, than Friday September 23, 2016. In the U.S. DOJ—ENRD, P.O. a toll-free number.] alternative, interested parties may fax Box 7611, Washington, DC SUPPLEMENTARY INFORMATION: FACJJ, 20044–7611. comments to 202–307–2819 and contact established pursuant to Section 3(2)A of Melissa Kanaya at 202–532–0121 to the Federal Advisory Committee Act (5 ensure that they are received. [These are During the public comment period, U.S.C. App.2), will meet to carry out its not toll-free numbers.] the Consent Decree may be examined advisory functions under Section and downloaded at this Justice 223(f)(2)(C–E) of the Juvenile Justice and Robert L. Listenbee, Department Web site: https:// Delinquency Prevention Act of 2002. Administrator, Office of Juvenile Justice and The FACJJ is composed of Delinquency Prevention. www.justice.gov/enrd/consent-decrees. We will provide a paper copy of the representatives from the states and [FR Doc. 2016–20255 Filed 8–23–16; 8:45 am] Decree upon written request and territories. FACJJ member duties BILLING CODE 4410–18–P payment of reproduction costs. Please include: Reviewing Federal policies mail your request and payment to: regarding juvenile justice and Consent Decree Library, U.S. DOJ– delinquency prevention; advising the DEPARTMENT OF LABOR OJJDP Administrator with respect to ENRD, P.O. Box 7611, Washington, DC Office of the Secretary particular functions and aspects of 20044–7611. OJJDP; and advising the President and Please enclose a check or money order Congress with regard to State Agency Information Collection for $9.50 (25 cents per page perspectives on the operation of OJJDP Activities; Submission for OMB reproduction cost) payable to the United and Federal legislation pertaining to Review; Comment Request; Claim for States Treasury. juvenile justice and delinquency Compensation by a Dependent prevention. More information on the Information Reports Karen Dworkin, FACJJ may be found at www.facjj.org. ACTION: Notice. Assistant Section Chief, Environmental Meeting Agenda: The proposed Enforcement Section, Environment and agenda includes: (a) Opening SUMMARY: The Department of Labor Natural Resources Division. Introductions, and Meeting Logistics; (b) (DOL) is submitting the Office of [FR Doc. 2016–20274 Filed 8–23–16; 8:45 am] Remarks of Robert L. Listenbee, Workers’ Compensation Programs mstockstill on DSK3G9T082PROD with NOTICES BILLING CODE 4410–15–P Administrator, OJJDP; (c) FACJJ (OWCP) sponsored information Subcommittee Reports (Legislation; collection request (ICR) revision titled, Expungement/Sealing of Juvenile Court ‘‘Claim for Compensation by a Records; Research/Publications; LGBT); Dependent Information Reports,’’ to the (d) FACJJ Administrative Business; (e) Office of Management and Budget New Member Orientation; (f) Ethics (OMB) for review and approval for use Training (g) Discussion of By-Laws; and in accordance with the Paperwork VerDate Sep<11>2014 20:16 Aug 23, 2016 Jkt 238001 PO 00000 Frm 00061 Fmt 4703 Sfmt 4703 E:\FR\FM\24AUN1.SGM 24AUN1

57938 Federal Register / Vol. 81, No. 164 / Wednesday, August 24, 2016 / Notices Reduction Act (PRA) of 1995 (44 U.S.C. (Request for Clarification of CA–5b), as • Minimize the burden of the 3501 et seq.). Public comments on the well as related form letters used to collection of information on those who ICR are invited. obtain follow-up information commonly are to respond, including through the DATES: The OMB will consider all needed to clarify an initial benefit use of appropriate automated, written comments that agency receives claim. This information collection is electronic, mechanical, or other on or before September 23, 2016. considered a revision, because several technological collection techniques or ADDRESSES: A copy of this ICR with clarifying changes were made to the other forms of information technology, applicable supporting documentation; forms and letters; however, the changes e.g., permitting electronic submission of including a description of the likely do not affect the estimated burden. responses. respondents, proposed frequency of Federal Employee Compensation Act as Agency: DOL–OWCP. response, and estimated total burden amended sections 28 and 32 authorize Title of Collection: Claim for may be obtained free of charge from the this information collection. See 5 U.S.C. Compensation by a Dependent RegInfo.gov Web site at http:// 8145 and 8149. Information Reports. www.reginfo.gov/public/do/PRAView This information collection is subject OMB Control Number: 1240–0013. ICR?ref_nbr=201602-1240-003 (this link to the PRA. A Federal agency generally Affected Public: Individuals or will only become active on the day cannot conduct or sponsor a collection Households. of information, and the public is Total Estimated Number of following publication of this notice) or generally not required to respond to an Respondents: 1,675. by contacting Michel Smyth by Total Estimated Number of telephone at 202–693–4129, TTY 202– information collection, unless it is Responses: 1,675. 693–8064, (these are not toll-free approved by the OMB under the PRA Total Estimated Annual Time Burden: numbers) or sending an email to DOL_ and displays a currently valid OMB 964 hours. PRA_PUBLIC@dol.gov. Control Number. In addition, Total Estimated Annual Other Costs Submit comments about this request notwithstanding any other provisions of Burden: $871. by mail or courier to the Office of law, no person shall generally be subject Information and Regulatory Affairs, to penalty for failing to comply with a Dated: August 18, 2016. Attn: OMB Desk Officer for DOL– collection of information that does not Michel Smyth, OWCP, Office of Management and display a valid Control Number. See 5 Departmental Clearance Officer. Budget, Room 10235, 725 17th Street CFR 1320.5(a) and 1320.6. The DOL [FR Doc. 2016–20262 Filed 8–23–16; 8:45 am] NW., Washington, DC 20503; by Fax: obtains OMB approval for this BILLING CODE 4510–CH–P 202–395–5806 (this is not a toll-free information collection under Control number); or by email: OIRA_ Number 1240–0013. The current submission@omb.eop.gov. Commenters approval is scheduled to expire on DEPARTMENT OF LABOR are encouraged, but not required, to August 31, 2016; however, the DOL send a courtesy copy of any comments notes that existing information Office of the Secretary by mail or courier to the U.S. collection requirements submitted to the Department of Labor—OASAM, Office Agency Information Collection OMB receive a month-to-month of the Chief Information Officer, Attn: Activities; Submission for OMB extension while they undergo review. Departmental Information Compliance Review; Comment Request; Weekly New requirements would only take Management Program, Room N1301, Claims and Extended Benefits Data effect upon OMB approval. For 200 Constitution Avenue NW., and Weekly Initial and Continued additional substantive information Washington, DC 20210; or by email: Weeks Claimed about this ICR, see the related notice DOL_PRA_PUBLIC@dol.gov. published in the Federal Register on ACTION: Notice. FOR FURTHER INFORMATION CONTACT: March 8, 2016 (81 FR 12129). Contact Michel Smyth by telephone at Interested parties are encouraged to SUMMARY: The Department of Labor 202–693–4129, TTY 202–693–8064, send comments to the OMB, Office of (DOL) is submitting the Employment (these are not toll-free numbers) or Information and Regulatory Affairs at and Training Administration (ETA) sending an email to DOL_PRA_ the address shown in the ADDRESSES sponsored information collection PUBLIC@dol.gov. section within thirty (30) days of request (ICR) revision titled, ‘‘Weekly Authority: 44 U.S.C. 3507(a)(1)(D). publication of this notice in the Federal Claims and Extended Benefits Data and SUPPLEMENTARY INFORMATION: This ICR Register. In order to help ensure Weekly Initial and Continued Weeks seeks approval under the PRA for appropriate consideration, comments Claimed,’’ to the Office of Management revisions to the Claim for Compensation should mention OMB Control Number and Budget (OMB) for review and by a Dependent Information Reports 1240–0013. The OMB is particularly approval for use in accordance with the information collection. This ICR covers interested in comments that: Paperwork Reduction Act (PRA) of forms a dependent of a deceased Federal • Evaluate whether the proposed 1995. Public comments on the ICR are employee, whose death is work-related, collection of information is necessary invited. uses to prove continued eligibility for for the proper performance of the DATES: The OMB will consider all benefits, to show entitlement to functions of the agency, including written comments that agency receives remaining compensation payments of whether the information will have on or before September 23, 2016. the deceased employee, and to show practical utility; ADDRESSES: A copy of this ICR with dependency. Specifically, this ICR • Evaluate the accuracy of the applicable supporting documentation; mstockstill on DSK3G9T082PROD with NOTICES covers Forms CA–5 (Claim for agency’s estimate of the burden of the including a description of the likely Compensation by Widow, Widower, proposed collection of information, respondents, proposed frequency of and/or Children), CA–5b (Claim for including the validity of the response, and estimated total burden Compensation by Parents, Brothers, methodology and assumptions used; may be obtained free of charge from the Sisters, Grandparents, or • Enhance the quality, utility, and RegInfo.gov Web site at http:// Grandchildren), CA–1031 (Claimant clarity of the information to be www.reginfo.gov/public/do/ Support of Dependent), and CA–1074 collected; and PRAViewICR?ref_nbr=201602-1205-001 VerDate Sep<11>2014 20:16 Aug 23, 2016 Jkt 238001 PO 00000 Frm 00062 Fmt 4703 Sfmt 4703 E:\FR\FM\24AUN1.SGM 24AUN1


Document Created: 2016-08-24 03:02:28
Document Modified: 2016-08-24 03:02:28
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesThe OMB will consider all written comments that agency receives on or before September 23, 2016.
ContactContact 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]
FR Citation81 FR 57937 
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