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

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. 

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 forprofit, Individuals or households. 

Form 

Time to 

complete 

(min.) 

Frequency 

of response 

Number of 

respondents 

Number of 

responses 

Hours 

burden 

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 


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