82 FR 16858 - Division of Federal Employees' Compensation; Proposed Revision to Existing Approved Collection; Comment Request
DEPARTMENT OF LABOR
Office of Workers' Compensation Programs Federal Register Volume 82, Issue 65 (April 6, 2017)
Office of Workers' Compensation Programs
Federal Register Volume 82, Issue 65 (April 6, 2017)
| Page Range | 16858-16859 | |
| FR Document | 2017-06872 |
[Federal Register Volume 82, Number 65 (Thursday, April 6, 2017)] [Notices] [Pages 16858-16859] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-06872] ----------------------------------------------------------------------- DEPARTMENT OF LABOR Office of Workers' Compensation Programs Division of Federal Employees' Compensation; Proposed Revision to Existing Approved Collection; Comment Request 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. 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 is soliciting comments concerning the proposed collection: Claim for Compensation (CA-7); Authorization for Examination and/or Treatment (CA-16); Duty Status Report (CA-17); Attending 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). 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 June 5, 2017. ADDRESSES: Ms Yoon Ferguson, U.S. Department of Labor, 200 Constitution Ave. NW., Room S-3201, Washington, DC 20210, telephone/fax (202) 354- 9647, Email [email protected]. Please use only one method of transmission for comments (mail, fax, or Email). SUPPLEMENTARY INFORMATION: I. Background The Office of Workers' Compensation Programs (OWCP) administers the Federal Employees' Compensation Act (FECA), 5 U.S.C. 8101 et seq. The statute provides for the payment of benefits for wage loss and/or for permanent impairment to a scheduled member, arising out of a work related injury or disease. The Act outlines the elements of pay which are to be included in an individual's pay rate, and sets forth various other criteria for determining eligibility to and the amount of benefits, including: Augmentation of basic compensation for individuals with qualifying dependents; a requirement to report any earnings during a period that compensation is claimed; a prohibition against concurrent receipt of FECA benefits and benefits from OPM or certain VA benefits; a mandate that money collected from a liable third party found responsible for the injury for which compensation has been paid is applied to benefits paid or payable. This information collection is currently approved for use through January 31, 2018. This ICR has been classified as a revision, because of a change to the CA-1332, which will include additional questions for the physician to respond to as whether a condition of tinnitus has been diagnosed, has impacted a claimant's daily living and whether such diagnosis is or isn't due to federal employment. 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 a revision in order to carry out its statutory responsibility to compensate injured employees under the provisions of the Act. Type of Review: Revision. Agency: Office of Workers' Compensation Programs. Title: FECA medical Reports, Claim for Compensation. OMB Number: 1240-0046. Agency Number: 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. Affected Public: Individuals or households; Business or other for- profit; Federal Government previously approved. Total Respondents: 282,353. [[Page 16859]] ---------------------------------------------------------------------------------------------------------------- Time to Number of Form complete (min) responses Hours burden ---------------------------------------------------------------------------------------------------------------- CA-7............................................................ 13 500 120 CA-16........................................................... 5 29,519 2,460 CA-17........................................................... 5 182,793 15,233 CA-20........................................................... 5 56,394 4,700 CA-1090......................................................... 10 234 39 CA-1305......................................................... 20 136 45 CA-1331/CA-1087 *............................................... 5 1,062 89 CA-1332......................................................... 30 30 6 OWCP-5's........................................................ 15 11,651 2,913 ----------------------------------------------- Totals...................................................... .............. 282,353 25,605 ---------------------------------------------------------------------------------------------------------------- * Responses and hours associated with Form CA-1087 are included in the estimates for the Form CA-1331. The Form CA-1087 is attached to the Form CA-1331. Total Annual Responses: 232,353. Average Time per Response: 5 minutes-30 minutes. Estimated Total Burden Hours: 25,605. Frequency: As Needed. Total Burden Cost (capital/startup): $0. Total Burden Cost (operating/maintenance): $110,118. 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 29, 2017. Yoon Ferguson, Agency Clearance Officer, Office of Workers' Compensation Programs, U.S. Department of Labor. [FR Doc. 2017-06872 Filed 4-5-17; 8:45 am] BILLING CODE 4510-CH-P
![16858 Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
1. BACL must inform OSHA as soon collection instruments are clearly money collected from a liable third
as possible, in writing, of any change of understood, and the impact of collection party found responsible for the injury
ownership, facilities, or key personnel, requirements on respondents can be for which compensation has been paid
and of any major change in its properly assessed. Currently, the Office is applied to benefits paid or payable.
operations as a NRTL, and provide of Workers’ Compensation Programs is This information collection is currently
details of the change(s); is soliciting comments concerning the approved for use through January 31,
2. BACL must meet all the terms of its proposed collection: Claim for 2018. This ICR has been classified as a
recognition and comply with all OSHA Compensation (CA–7); Authorization for revision, because of a change to the CA–
policies pertaining to this recognition; Examination and/or Treatment (CA–16); 1332, which will include additional
and Duty Status Report (CA–17); Attending questions for the physician to respond
3. BACL must continue to meet the Physician’s Report (CA–20); Request for to as whether a condition of tinnitus has
requirements for recognition, including the Services of an Attendant (CA–1090); been diagnosed, has impacted a
all previously published conditions on Referral to a Medical Specialist (CA– claimant’s daily living and whether
BACL’s scope of recognition, in all areas 1305); OWCP Requirements for such diagnosis is or isn’t due to federal
for which it has recognition. Audiological Examination (CA–1087); employment.
Pursuant to the authority in 29 CFR Referral for a Complete Audiologic and
1910.7, OSHA hereby grants recognition II. Review Focus
Otologic Examination (CA–1331);
to BACL as an NRTL, subject to these Outline for Audiologic Examination The Department of Labor is
limitations and conditions specified (CA–1332); Work Capacity Evaluation, particularly interested in comments
above. Psychiatric/Psychological Conditions which:
IV. Authority and Signature (OWCP–5a); Work Capacity Evaluation, * Evaluate whether the proposed
Cardiovascular/Pulmonary Conditions collection of information is necessary
Dorothy Dougherty, Deputy Assistant
(OWCP–5b); and Work Capacity for the proper performance of the
Secretary of Labor for Occupational
Evaluation, Musculoskeletal Conditions functions of the agency, including
Safety and Health, 200 Constitution
(OWCP–5c). A copy of the proposed whether the information will have
Avenue NW., Washington, DC 20210,
information collection request can be practical utility;
authorized the preparation of this
obtained by contacting the office listed * evaluate the accuracy of the
notice. Accordingly, the Agency is
below in the addresses section of this agency’s estimate of the burden of the
issuing this notice pursuant to 29 U.S.C.
Notice. proposed collection of information,
657(g)(2), Secretary of Labor’s Order No.
1–2012 (77 FR 3912, Jan. 25, 2012), and DATES: Written comments must be including the validity of the
29 CFR 1910.7. submitted to the office listed in the methodology and assumptions used;
addresses section below on or before * enhance the quality, utility and
Signed at Washington, DC, on March 31, clarity of the information to be
2017. June 5, 2017.
ADDRESSES: Ms Yoon Ferguson, U.S.
collected; and
Dorothy Dougherty,
Department of Labor, 200 Constitution * minimize the burden of the
Deputy Assistant Secretary of Labor for
Ave. NW., Room S–3201, Washington, collection of information on those who
Occupational Safety and Health.
DC 20210, telephone/fax (202) 354– are to respond, including through the
[FR Doc. 2017–06870 Filed 4–5–17; 8:45 am]
9647, Email Ferguson.Yoon@dol.gov. use of appropriate automated,
BILLING CODE 4510–26–P
Please use only one method of electronic, mechanical, or other
transmission for comments (mail, fax, or technological collection techniques or
Email). other forms of information technology,
DEPARTMENT OF LABOR
e.g., permitting electronic submissions
SUPPLEMENTARY INFORMATION:
Office of Workers’ Compensation of responses.
Programs I. Background
III. Current Actions
The Office of Workers’ Compensation
Division of Federal Employees’ Programs (OWCP) administers the The Department of Labor seeks a
Compensation; Proposed Revision to Federal Employees’ Compensation Act revision in order to carry out its
Existing Approved Collection; (FECA), 5 U.S.C. 8101 et seq. The statute statutory responsibility to compensate
Comment Request provides for the payment of benefits for injured employees under the provisions
wage loss and/or for permanent of the Act.
ACTION: Notice. Type of Review: Revision.
impairment to a scheduled member,
SUMMARY: The Department of Labor, as arising out of a work related injury or Agency: Office of Workers’
part of its continuing effort to reduce disease. The Act outlines the elements Compensation Programs.
paperwork and respondent burden, of pay which are to be included in an Title: FECA medical Reports, Claim
conducts a preclearance consultation individual’s pay rate, and sets forth for Compensation.
program to provide the general public various other criteria for determining OMB Number: 1240–0046.
and Federal agencies with an eligibility to and the amount of benefits, Agency Number: CA–7; CA–16; CA–
opportunity to comment on proposed including: Augmentation of basic 17; CA–20; CA–1090; CA–1305; CA–
and/or continuing collections of compensation for individuals with 1087; CA–1331; CA–1332; OWCP–5a;
information in accordance with the qualifying dependents; a requirement to OWCP–5b; and OWCP–5c.
mstockstill on DSK3G9T082PROD with NOTICES
Paperwork Reduction Act of 1995. This report any earnings during a period that Affected Public: Individuals or
program helps to ensure that requested compensation is claimed; a prohibition households; Business or other for-profit;
data can be provided in the desired against concurrent receipt of FECA Federal Government previously
format, reporting burden (time and benefits and benefits from OPM or approved.
financial resources) is minimized, certain VA benefits; a mandate that Total Respondents: 282,353.
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![Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices 16859
Time to Number of
Form complete Hours burden
responses
(min)
CA–7 ............................................................................................................................................ 13 500 120
CA–16 .......................................................................................................................................... 5 29,519 2,460
CA–17 .......................................................................................................................................... 5 182,793 15,233
CA–20 .......................................................................................................................................... 5 56,394 4,700
CA–1090 ...................................................................................................................................... 10 234 39
CA–1305 ...................................................................................................................................... 20 136 45
CA–1331/CA–1087 * .................................................................................................................... 5 1,062 89
CA–1332 ...................................................................................................................................... 30 30 6
OWCP–5’s ................................................................................................................................... 15 11,651 2,913
Totals .................................................................................................................................... ........................ 282,353 25,605
* Responses and hours associated with Form CA–1087 are included in the estimates for the Form CA–1331. The Form CA–1087 is attached
to the Form CA–1331.
Total Annual Responses: 232,353. the impact of collection requirements on Dated: April 3, 2017.
Average Time per Response: 5 respondents can be properly assessed. Kathy Daum,
minutes–30 minutes. Currently, the NEA is soliciting Director, Administrative Services Office,
Estimated Total Burden Hours: comments concerning the proposed National Endowment for the Arts.
25,605. information collection for the [FR Doc. 2017–06798 Filed 4–5–17; 8:45 am]
Frequency: As Needed. Evaluation of the Poetry Out Loud BILLING CODE 7537–01–P
Total Burden Cost (capital/startup): Program (POL). A copy of the current
$0. information collection request can be
Total Burden Cost (operating/ obtained by contacting the office listed NATIONAL SCIENCE FOUNDATION
maintenance): $110,118. below in the address section of this
Comments submitted in response to notice. Request for Recommendations for
this notice will be summarized and/or Membership on Directorate and Office
included in the request for Office of DATES: Submit comments on or before Advisory Committees
Management and Budget approval of the June 5, 2017.
information collection request; they will ACTION: Notice.
also become a matter of public record. ADDRESSES: Send comments to: Sunil
Iyengar, National Endowment for the SUMMARY: The National Science
Dated: March 29, 2017. Foundation (NSF) requests
Arts, 400 7th Street SW., Washington,
Yoon Ferguson, recommendations for membership on its
DC 20506–0001, telephone (202) 682–
Agency Clearance Officer, Office of Workers’ 5424 (this is not a toll-free number), fax scientific and technical Federal advisory
Compensation Programs, U.S. Department of committees. Recommendations should
Labor.
(202) 682–5677, or send via email to
research@arts.gov. consist of the name of the submitting
[FR Doc. 2017–06872 Filed 4–5–17; 8:45 am] individual, the organization or the
BILLING CODE 4510–CH–P SUPPLEMENTARY INFORMATION: The NEA affiliation providing the member
is particularly interested in comments nomination, the name of the
which: recommended individual, the
NATIONAL FOUNDATION ON THE recommended individual’s curriculum
• Evaluate whether the proposed
ARTS AND THE HUMANITIES vita, an expression of the individual’s
collection of information is necessary interest in serving, and the following
National Endowment for the Arts for the proper performance of the recommended individual’s contact
functions of the agency, including information: employment address,
Proposed Collection; Comment whether the information will have telephone number, FAX number, and
Request practical utility; email address. Self-recommendations
ACTION: Notice. • Evaluate the accuracy of the agency’s are accepted. If you would like to make
estimate of the burden of the a membership recommendation for any
SUMMARY: The National Endowment for proposed collection of information of the NSF scientific and technical
the Arts (NEA), as part of its continuing including the validity of the Federal advisory committees, please
effort to reduce paperwork and methodology and assumptions used; send your recommendation to the
respondent burden, conducts a appropriate committee contact person
• Enhance the quality, utility, and
preclearance consultation program to listed in the chart below.
clarity of the information to be
provide the general public and Federal ADDRESSES: The mailing address for the
collected; and
agencies with an opportunity to National Science Foundation is 4201
comment on proposed and/or • Minimize the burden of the collection Wilson Boulevard, Arlington, VA 22230.
continuing collections of information in of information on those who are to Web links to individual committee
mstockstill on DSK3G9T082PROD with NOTICES
accordance with the Paperwork respond, including through the use of information may be found on the NSF
Reduction Act of 1995. This program appropriate automated, electronic, Web site: NSF Advisory Committees.
helps to ensure that requested data can mechanical, or other technological SUPPLEMENTARY INFORMATION: Each
be provided in the desired format, collection techniques or other forms Directorate and Office has an external
reporting burden (time and financial of information technology, e.g., advisory committee that typically meets
resources) is minimized, collection permitting electronic submissions of twice a year to review and provide
instruments are clearly understood, and responses. advice on program management; discuss
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Document Created: 2017-04-06 01:46:29
Document Modified: 2017-04-06 01:46:29
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Written comments must be submitted to the office listed in the | |
| FR Citation | 82 FR 16858 |
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