83 FR 44910 - Proposed Extension of Existing Collection; Comment Request

DEPARTMENT OF LABOR
Office of Workers' Compensation Programs

Federal Register Volume 83, Issue 171 (September 4, 2018)

Page Range		44910-44910
FR Document		2018-19165

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.

Federal Register, Volume 83 Issue 171 (Tuesday, September 4, 2018)

[Federal Register Volume 83, Number 171 (Tuesday, September 4, 2018)]
[Notices]
[Page 44910]
From the Federal Register Online [www.thefederalregister.org]
[FR Doc No: 2018-19165]

[[Page 44910]]

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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.

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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 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.
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

44910 Federal Register / Vol. 83, No. 171 / Tuesday, September 4, 2018 / Notices

DEPARTMENT OF LABOR (202) 354–9647; or by Email II. Review Focus: The Department of
ferguson.yoon@dol.gov. Please use only Labor is particularly interested in
Office of Workers’ Compensation one method of transmission for comments which:
Programs comments (mail/delivery, fax, or Email). * Evaluate whether the proposed
Please note that comments submitted collection of information is necessary
Proposed Extension of Existing after the comment period will not be for the proper performance of the
Collection; Comment Request considered. functions of the agency, including
AGENCY: Division of Federal Employees’ SUPPLEMENTARY INFORMATION: whether the information will have
Compensation, Office of Workers’ I. Background: A Federal employee practical utility;
Compensation Programs, Department of who sustains a work-related injury is * evaluate the accuracy of the agency’s
Labor. entitled to receive compensation under estimate of the burden of the proposed
ACTION: Notice. the Federal Employees’ Compensation collection of information, including the
Act (FECA). If that injury is caused validity of the methodology and
SUMMARY: The Department of Labor, as under circumstances that create a legal assumptions used;
part of its continuing effort to reduce liability in a third party to pay damages, * enhance the quality, utility and
paperwork and respondent burden, the FECA authorizes the Secretary of clarity of the information to be
conducts a preclearance consultation Labor to require the employee to assign collected; and
program to provide the general public his or her right of action to the United * minimize the burden of the
and Federal agencies with an States or to prosecute the action in his
opportunity to comment on proposed collection of information on those who
or her own name. See 5 U.S.C. 8131. are to respond, including through the
and/or continuing collections of When the employee receives a
information in accordance with the use of appropriate automated,
payment for his or her damages, electronic, mechanical, or other
Paperwork Reduction Act of 1995 whether from a final court judgment on
(PRA95). This program helps to ensure technological collection techniques or
or a settlement of the action, section other forms of information technology,
that requested data can be provided in 8132 of the FECA (5 U.S.C. 8132)
the desired format, reporting burden e.g., permitting electronic submissions
provides that the employee ‘‘shall of responses.
(time and financial resources) is refund to the United States that amount
minimized, collection instruments are III. Current Actions: The Department
of compensation paid by the United of Labor seeks the approval for the
clearly understood, and the impact of States. . . .’’ To enforce the United
collection requirements on respondents extension of this currently approved
States’ statutory right of reimbursement, information collection in order to
can be properly assessed. Currently, the the Office of Workers’ Compensation
Office of Workers’ Compensation exercise its responsibility to enforce the
Programs (OWCP) has promulgated United States’ right to this refund. The
Programs is soliciting comments regulations. The regulations require a
concerning its proposal to extend OMB information collected with Form CA–
FECA beneficiary to report these types 1108 and Form CA–1122 is used by SOL
approval of the information collection: of payments (20 CFR 10.710) and submit
Statement of Recovery (SOR) Forms personnel to determine the amount to be
the detailed information necessary to reimbursed to the United States out of
(CA–1108 and CA–1122). A copy of the calculate the amount of the refund and
proposed information collection request the proceeds of an action asserted by an
surplus, if any, according to the formula injured Federal employee against a
can be obtained by contacting the office in the statute (20 CFR 10.707(e)).
listed below in the ADDRESSES section of liable third party for a compensable
The information collected by Form
this Notice. injury.
CA–1108 and Form CA–1122 from the
DATES: Written comments must be Agency: Office of Workers’
FECA beneficiary includes this
submitted to the office listed in the Compensation Program.
information and is necessary to
ADDRESSES section below on or before calculate the amount of the refund and Type of Review: Extension.
November 5, 2018. surplus owed to the United States from Title: Statement of Recovery Forms.
ADDRESSES: You may submit comments the FECA beneficiary’s settlement or OMB Number: 1240–0001.
by mail, delivery service or by hand to judgment, as required in the statute and Agency Number: CA–1108 and CA–
Ms. Yoon Ferguson, U.S. Department of the regulations. This information 1122.
Labor, 200 Constitution Ave. NW, Room collection is currently approved for use Affected Public: Business or other for-
S–3323, Washington, DC 20210; by fax through November 30, 2018. profit, Individuals or households.

Time to Frequency Number of Number of Hours
Form complete of response respondents responses burden
(min.)

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 Burden Cost (operating/ Dated: August 27, 2018.
sradovich on DSK3GMQ082PROD with NOTICES

Total Annual Responses: 938. maintenance): $249. Yoon Ferguson,
Average Time per Response: 15–30 Comments submitted in response to Agency Clearance Officer, Office of Workers’
minutes. this notice will be summarized and/or Compensation Programs, US Department of
Estimated Total Burden Hours: 467. included in the request for Office of Labor.
Frequency: As needed. Management and Budget approval of the [FR Doc. 2018–19165 Filed 8–31–18; 8:45 am]
Total Burden Cost (capital/startup): information collection request; they will BILLING CODE 4510–CH–P
$0. also become a matter of public record.

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Document Created: 2018-09-01 02:59:47
Document Modified: 2018-09-01 02:59:47

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		83 FR 44910

83 FR 44910 - Proposed Extension of Existing Collection; Comment Request

DEPARTMENT OF LABOROffice of Workers' Compensation Programs

Federal Register Volume 83, Issue 171 (September 4, 2018)

DEPARTMENT OF LABOR
Office of Workers' Compensation Programs