Proposed Extension Without Change of a Currently Approved Information Collection: Claim for Continuance of Compensation
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public a...
Division of Federal Employees' Compensation, Office of Workers' Compensation Programs, Labor.
ACTION:
Request for public comments.
SUMMARY:
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request 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, Division of Federal Employees' Compensation, (OWCP/DFEC) is soliciting comments on the information collection for the CA-12, Claim for Continuance of Compensation.
DATES:
All comments must be received on or before October 19, 2026.
ADDRESSES:
You may submit comment as follows. Please note that late, untimely filed comments will not be considered.
Electronic Submissions:
Submit electronic comments in the following way:
Federal eRulemaking Portal: www.regulations.gov.
Follow the instructions for submitting comments. Comments submitted electronically, including attachments, to
www.regulations.gov
will be posted to the docket, with no changes. Because your comment will be made public, you are responsible for ensuring that your comment does not include any confidential information that you or a third party may not wish to be posted, such as your or anyone else's Social Security number or confidential business information.
If your comment includes confidential information that you do not wish to be made available to the public, submit the comment as a written/paper submission.
Written/Paper Submissions:
Submit written/paper submissions in the following way:
Mail/Hand Delivery:
Mail or visit DOL-OWCP/DFEC, Office of Workers' Compensation Programs, Division of Federal Employees' Compensation, U.S. Department of Labor, 200 Constitution Ave. NW, Room S-3323, Washington, DC 20210.
OWCP/DFEC will post your comment as well as any attachments, except for information submitted and marked as confidential, in the docket atwww.regulations.gov.
FOR FURTHER INFORMATION CONTACT:
Anjanette Suggs, Office of Workers' Compensation Programs, Division of Federal Employees' Longshore, and Harbor Workers' Compensation, OWCP/DFELHWC, at
suggs.anjanette@dol.gov
(email); (202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
The information requested on the CA-12 is obtained from each beneficiary receiving continuing death benefits. The Office of Workers' Compensation Programs administers the Federal Employees' Compensation Act. which provides for continuation of pay or compensation for work related injuries or disease that resulted from federal employment. Under 5 U.S.C. 8133 of the Act, eligible survivors of deceased
( printed page 53667)
employees receive compensation benefits on account of the employee's death. OWCP has to monitor death benefits for current marital status, potential for dual benefits, and other criteria for qualifying as a beneficiary under the law. Under 5 U.S.C. 8149, the Secretary of Labor may prescribe rules and regulations necessary for the administration and enforcement of this subchapter. Under 20 CFR 10.414, the CA-12 is sent annually to beneficiaries in death cases to verify that their marital and/or beneficiary status has not changed to remain entitled to benefits.
OWCP/DFEC is soliciting comments concerning the proposed information collection related to the Claim for Continuance of Compensation. OWCP/DFEC is particularly interested in comments that:
Evaluate whether the collection of information is necessary for the proper performance of the functions of the Agency, including whether the information has practical utility;
Evaluate the accuracy of OWCP/DFEC's estimate of the burden related to the information collection, including the validity of the methodology and assumptions used in the estimate;
Suggest methods to enhance the quality, utility, and clarity of the information to be collected; and
Minimize the burden of the information collection 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.
Documents related to this information collection request are available at
regulations.gov.
Questions about the information collection requirements may be directed to the person listed in the
FOR FURTHER INFORMATION CONTACT
section of this notice.
III. Current Actions
This information collection request concerns the Claim for Continuance of Compensation, Form CA-12. OWCP/DFEC has updated the data with respect to the number of respondents, responses, burden hours, and burden costs supporting this information collection request from the previous information collection request.
Type of Review:
Extension of a currently approved collection.
Agency:
Office of Workers' Compensation Programs, Division of Federal Employees' Compensation, OWCP/DFEC.
OMB Number:
1240-0015.
Affected Public:
Individuals or Households.
Number of Respondents:
2,362.
Frequency:
On occasion.
Number of Responses:
2,362.
Annual Burden Hours:
197.
Annual Respondent or Recordkeeper Cost:
$1,603.00.
OWCP/DFEC 1240-0015:
OWCP/DFEC Claim for Continuance of Compensation.
Comments submitted in response to this notice will be summarized in the request for Office of Management and Budget approval of the proposed information collection request; they will become a matter of public record and will be available at
www.reginfo.gov.
Use this for formal legal and research references to the published document.
91 FR 53666
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“Proposed Extension Without Change of a Currently Approved Information Collection: Claim for Continuance of Compensation,” thefederalregister.org (August 19, 2026), https://thefederalregister.org/documents/2026-16882/proposed-extension-without-change-of-a-currently-approved-information-collection-claim-for-continuance-of-compensation.
www.regulations.gov
5 U.S.C. 8133
20 CFR 10.414
www.dol.gov/agencies/owcp/FECA/regs/statutes/feca#8107
regulations.gov
www.reginfo.gov