Proposed Extension of Information Collection: Form CA-2a, Notice of Recurrence
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, (OWCP/DFEC), 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 new information collection for the CA-2a, Notice of Recurrence.
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@dol.gov
(email); (202) 354-9660.
SUPPLEMENTARY INFORMATION:
I. Background
The Office of Workers' Compensation Programs administers the Federal Employees' Compensation Act, (5 U.S.C. 8101,
et seq.), provides for continuation of pay or compensation for work related injuries or disease that result from Federal Employment. Regulation 20 CFR 10.104 designates form CA-2a as the form to be used to request information from claimants with previously accepted injuries who claim
( printed page 53668)
a recurrence of disability, and from their employer, if applicable. The form requests information relating to the specific circumstances leading up to the recurrence as well as information about their employment and earnings.
A recurrence should be reported on Form CA-2a if that recurrence causes the employee to lose time from work and incur a wage loss, or if the employee experiences a renewed need for treatment after previously being released from care. The employee has the burden of establishing by the weight of reliable, probative and substantial evidence that the recurrence of disability is causally related to the original injury. The employee must include a detailed factual statement as described on Form CA-2a. The employer may submit comments concerning the employee's statement. The employee should arrange for the submittal of a detailed medical report from the attending physician as described on Form CA-2a. The employee should also submit, or arrange for the submittal of, similar medical reports for any examination and/or treatment received after returning to work following the original injury.
Reference:eCFR:20 CFR 10.104—How and when is a claim for recurrence filed?
II. Desired Focus of Comments
OWCP/DFEC is soliciting comments concerning the proposed information collection related to Attending Physician's Certification of Continuing Workers' Compensation Disability. 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
section of this notice.
III. Current Actions
This information collection request concerns the Notice of Recurrence, Form CA-2a. 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, with change, of a currently approved collection.
Agency:
Office of Workers' Compensation Programs, Division of Federal Employees' Compensation, OWCP/DFEC.
OMB Number:
1240-0009.
Affected Public:
Private Sector—Businesses or other for-profits.
Number of Respondents:
80.
Frequency:
On occasion.
Number of Responses:
80.
Annual Burden Hours:
40 hours.
Annual Respondent or Recordkeeper Cost:
$1,295.00.
OWCP/DFEC
1240-0009:
OWCP/DFEC Notice of Recurrence.
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 53667
Web Citation
Suggested Web Citation
Use this when citing the archival web version of the document.
“Proposed Extension of Information Collection: Form CA-2a, Notice of Recurrence,” thefederalregister.org (August 19, 2026), https://thefederalregister.org/documents/2026-16901/proposed-extension-of-information-collection-form-ca-2a-notice-of-recurrence.