Federal Register / Vol. 86, No. 107 / Monday, June 7, 2021 / Notices 30335 

DEPARTMENT OF LABOR 

Office of the Workers’ Compensation 

Programs 

Agency Information Collection 

Activities; Comment Request; Request 

for Information on Earnings, Dual 

Benefits, Dependents and Third Party 

Settlement, CA–1032 

AGENCY: Division of Federal Employees’, 

Longshore and Harbor Workers’ 

Compensation—FECA, Office of the 

Workers’ Compensation Programs, 

Department of Labor. 

ACTION: Notice. 

SUMMARY: The Department of Labor 

(DOL) is soliciting comments 

concerning a revision for the authority 

to conduct the information collection 

request (ICR) titled, ‘‘[Request for 

Information on Earnings, Dual Benefits, 

Dependents and Third Party Settlement, 

CA–1032].’’ This comment request is 

part of continuing Departmental efforts 

to reduce paperwork and respondent 

burden in accordance with the 

Paperwork Reduction Act of 1995 

(PRA). 

DATES: Consideration will be given to all 

written comments received by August 6, 

2021. 

ADDRESSES: A copy of this ICR with 

applicable supporting documentation; 

including a description of the likely 

respondents, proposed frequency of 

response, and estimated total burden 

may be obtained free by contacting 

Anjanette Suggs by telephone at 202– 

354–9660 or by email at 

suggs.anjanette@dol.gov. 

Submit written comments about, or 

requests for a copy of, this ICR by mail 

or courier to the U.S. Department of 

Labor, Office of Workers’ Compensation 

Programs, Room S3323, and 200 

Constitution Avenue NW, Washington, 

DC 20210; by email: suggs.anjanette@

dol.gov. 

FOR FURTHER INFORMATION CONTACT: 

Anjanette Suggs by telephone at 202– 

354–9660 or by email at 

suggs.anjanette@dol.gov. 

SUPPLEMENTARY INFORMATION: The DOL, 

as part of continuing efforts to reduce 

paperwork and respondent burden, 

conducts a pre-clearance consultation 

program to provide the general public 

and Federal agencies an opportunity to 

comment on proposed and/or 

continuing collections of information 

before submitting them to the OMB for 

final approval. This program helps to 

ensure 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 can be properly 

assessed. 

The OWCP uses this collection to 

obtain information from a Federal 

Employees’ Compensation Act (FECA) 

claimant receiving workers’ 

compensation benefits over an extended 

period. The OWCP uses the response to 

determine whether the claimant is 

entitled to continue receiving benefits 

and whether the benefit amount should 

be adjusted. The collection is necessary 

to help verify that the beneficiary 

receives the correct compensation. 

Information requested on the CA–1032 

is obtained from each claimant receiving 

continuing compensation on the 

periodic disability roll. The form 

requests information on the claimant’s 

earnings, dependents, third party 

settlements, and other Federal benefits 

received. Questions in the form in Part 

D (2) Other Benefits or Payments 

pertaining to Social Security Benefits 

were slightly revised for better clarity 

for the respondent. 

The FECA authorizes this information 

collection. See 5 U.S.C. 8124 and 8149. 

This information collection is subject to 

the PRA. A Federal agency generally 

cannot conduct or sponsor a collection 

of information, and the public is 

generally not required to respond to an 

information collection, unless the OMB 

under the PRA approves it and displays 

a currently valid OMB Control Number. 

The current information collection 

expires November 30, 2023. In addition, 

notwithstanding any other provisions of 

law, no person shall generally be subject 

to penalty for failing to comply with a 

collection of information that does not 

display a valid Control Number. See 5 

CFR 1320.5(a) and 1320.6. 

Interested parties are encouraged to 

provide comments to the contact shown 

in the ADDRESSES section. Written 

comments will receive consideration, 

and be summarized and included in the 

request for OMB approval of the final 

ICR. In order to help ensure appropriate 

consideration, comments should 

mention [1240–0016]. 

Submitted comments will also be a 

matter of public record for this ICR and 

posted on the internet, without 

redaction. The DOL encourages 

commenters not to include personally 

identifiable information, confidential 

business data, or other sensitive 

statements/information in any 

comments. 

The DOL is particularly interested in 

comments that: 

• 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: DOL—Office of Workers’ 

Compensation Programs. 

Type of Review: [Revision]. 

Title of Collection: [Request for 

Information on Earnings, Dual Benefits, 

Dependents and Third Party 

Settlement]. 

Form: [CA–1032]. 

OMB Control Number: [1240–0016]. 

Affected Public: [Individual or 

Household]. 

Estimated Number of Respondents: 

[37,056]. 

Frequency: [Annually]. 

Total Estimated Annual Responses: 

[37,056]. 

Estimated Average Time per 

Response: [20 minutes]. 

Estimated Total Annual Burden 

Hours: [12,352] hours. 

Total Estimated Annual Other Cost 

Burden: $[294,472] 

Authority: 44 U.S.C. 3506(c)(2)(A). 

Anjanette Suggs, 

Agency Clearance Officer. 

[FR Doc. 2021–11815 Filed 6–4–21; 8:45 am] 

BILLING CODE 4510–CH–P 

NATIONAL AERONAUTICS AND 

SPACE ADMINISTRATION 

[NOTICE: [21–033]] 

Name of Information Collection: 

Generic Clearance for the Collection of 

Qualitative Feedback on Agency 

Service Delivery 

AGENCY: National Aeronautics and 

Space Administration (NASA). 

ACTION: Notice of information collection. 

SUMMARY: The National Aeronautics and 

Space Administration, as part of its 

continuing effort to reduce paperwork 

and respondent burden, invites the 

general public and other Federal 

agencies to take this opportunity to 


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