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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1240-0008
ICR Reference No:
201405-1240-002
Status:
Historical Active
Previous ICR Reference No:
201102-1240-003
Agency/Subagency:
DOL/OWCP
Agency Tracking No:
Title:
Rehabilitation Action Report
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/23/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/26/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2017
36 Months From Approved
12/31/2014
Responses
4,775
0
6,050
Time Burden (Hours)
796
0
1,010
Cost Burden (Dollars)
0
0
0
Abstract:
The OWCP-44 is the form used to report the status of a rehabilitation case, submitted by the contractor vocational rehabilitation counselor during an ongoing vocational rehabilitation effort, and to request prompt adjudicatory claims action based on events arising during that effort.
Authorizing Statute(s):
US Code:
5 USC 8111
Name of Law: FECA
US Code:
33 USC 908
Name of Law: LHWCA
US Code:
33 USC 939
Name of Law: LHWCA
US Code:
5 USC 8104
Name of Law: FECA
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
79 FR 30183
05/27/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 57980
09/26/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Rehabilitation Action Report
OWCP-44
Rehabilitation Action Report
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
4,775
6,050
0
0
-1,275
0
Annual Time Burden (Hours)
796
1,010
0
0
-214
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
As indicated in item 12, since the last clearance three years ago, the responses from the respondents decreased from 6,050 to 4,775, which is an adjustment of 1,275 responses. Accordingly, the burden hours decreased from 1,010 to 796, an adjustment of 214 hours. We attribute the reduction in part due to the decrease in the number of claims filed since the last submission and an increase in return to work without vocational rehabilitation assistance. The agency believes this most recent data accurately reflects the actual average number of responses and has made a corresponding change to the estimates. While not expected materially to change burden, the form has been revised to delete a few data fields requiring entry by the Rehabilitation Counselor such as date wage loss began/date rehabilitation case opened; also, action items were either expanded or deleted that require completion by the Rehabilitation Counselor. The Privacy Act Statement was revised and the form will also include an accommodation statement to contact OWCP if further assistance is needed in the claims process for claimants who have mental or physical limitations.
Annual Cost to Federal Government:
$98,222
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Marcus Sharpless 202 693-0998 sharpless.marcus@dol.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
09/26/2014
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