[Federal Register Volume 75, Number 103 (Friday, May 28, 2010)]
[Notices]
[Pages 30062-30063]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-12832]


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DEPARTMENT OF LABOR

Office of the Secretary


Submission for OMB Review: Comment Request

May 24, 2010.
    The Department of Labor (DOL) hereby announces the submission of 
the following public information collection requests (ICR) to the 
Office of Management and Budget (OMB) for review and approval in 
accordance with the Paperwork Reduction Act of 1995 (Pub. L. 104-13, 44 
U.S.C. chapter 35). A copy of each ICR, with applicable supporting 
documentation; including among other things a description of the likely 
respondents, proposed frequency of response, and estimated total burden 
may be obtained from the RegInfo.gov Web site at http://www.reginfo.gov/public/do/PRAMain or by contacting Darrin A. King on 
202-693-4129 (this is not a toll-free number)/e-mail: [email protected].
    Interested parties are encouraged to send comments to the Office of

[[Page 30063]]

Information and Regulatory Affairs, Attn: OMB Desk Officer for the 
Department of Labor--Office of Workers' Compensation Programs (OWCP), 
Office of Management and Budget, Room 10235, Washington, DC 20503, 
Telephone: 202-395-7316/Fax: 202-395-5806 (these are not toll-free 
numbers), E-mail: [email protected] within 30 days from the 
date of this publication in the Federal Register. In order to ensure 
the appropriate consideration, comments should reference the OMB 
Control Number (see below).
    The OMB 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 submission of responses.
    Agency: Office of Workers' Compensation Programs (OWCP).
    Type of Review: Revision and Extension of a currently approved 
collection.
    Title of Collection: Death Gratuity.
    OMB Control Number: 1240-0017.
    Agency Form Numbers: CA-40; CA-41; and CA-42.
    Affected Public: Individuals or Households and Federal Government.
    Total Estimated Number of Respondents: 2,600.
    Total Estimated Annual Burden Hours: 659.
    Total Estimated Annual Costs Burden (Operation and Maintenance): 
$12.
    Description: The National Defense Authorization Act for Fiscal Year 
2008, Public Law 110-181, was enacted on January 28, 2008. Section 1105 
of Public Law 110-181 amended the Federal Employees' Compensation Act 
(FECA) creating a new section 8102a effective upon enactment. This 
section establishes a new FECA death gratuity benefit of up to $100,000 
for eligible beneficiaries of federal employees and Non-Appropriated 
Fund Instrumentality employees who die from injuries incurred in 
connection with service with an Armed Force in a contingency operation. 
Section 8102a also permits agencies to authorize retroactive payment of 
the death gratuity for employees who died on or after October 7, 2001, 
in service with an Armed Force in the theater of operations of 
Operation Enduring Freedom and Operation Iraqi Freedom. Form CA-40 
requests the information necessary from the employee to accomplish this 
variance. Form CA-41 provides the means for those named beneficiaries 
and possible recipients to file claims for those benefits and requests 
information from such claimants so that OWCP may determine their 
eligibility for payment. Further, the statute and regulations require 
agencies to notify OWCP immediately upon the death of a covered 
employee. CA-42 provides the means to accomplish this notification and 
requests information necessary to administer any claim for benefits 
resulting from such a death. For additional information, see related 
notice published in the Federal Register on January 28, 2010 (75 FR 
page 4586).

    Agency: Office of Workers' Compensation Programs (OWCP).
    Type of Review: Revision and Extension of a currently approved 
collection.
    Title of Collection: Claim for Reimbursement-Assisted Reemployment.
    OMB Control Number: 1240-0018.
    Agency Form Number: CA-2231.
    Affected Public: Business or other for-profits.
    Total Estimated Number of Respondents: 25.
    Total Estimated Annual Burden Hours: 50.
    Total Estimated Annual Costs Burden (Operation and Maintenance): 
$47.
    Description: To aid in the employment of Federal employees with 
disabilities related to an on-the-job injury, employers submit the Form 
CA-2231 to claim reimbursement for wages paid under the assisted 
reemployment project. This information allows for a prompt decision on 
payment. For additional information, see related notice published in 
the Federal Register on February 18, 2010 (75 FR page 7291).

Darrin A. King,
Departmental Clearance Officer.
[FR Doc. 2010-12832 Filed 5-27-10; 8:45 am]
BILLING CODE 4510-27-P