Claim for Reimbursement-Assisted Reemployment

OMB Control No: 1215-0178	ICR Reference No: 200611-1215-002
Status: Historical Active	Previous ICR Reference No: 200404-1215-001
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: Claim for Reimbursement-Assisted Reemployment
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 06/06/2007
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2007
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2010	36 Months From Approved	06/30/2007
Responses	100	0	80
Time Burden (Hours)	50	0	40
Cost Burden (Dollars)	47	0	34

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Abstract: To aid in the employment of Federal employees with disabilities related to an on-the-job injury, employers submit this form to claim reimbursement for wages paid under the assisted reemployment project. This information allows for a prompt decision on payment.

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Authorizing Statute(s): US Code: 5 USC 8104a Name of Law: FECA    US Code: 5 USC 8101 Name of Law: Federal Employees' Compensation Act (FECA)

Citations for New Statutory Requirements: US Code: 5 USC 8101 Name of Law: Federal Employee's Compensation Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 67164	11/20/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 14614	03/28/2007
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title Form No. Form Name Claim for Reimbursement-Assisted Reemployment CA-2231 Claim for Reimbursement Assisted Reemployment

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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	100	80	0	0	20	0
Annual Time Burden (Hours)	50	40	0	0	10	0
Annual Cost Burden (Dollars)	47	34	0	0	13	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:

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Annual Cost to Federal Government: $464

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]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Macaire Carroll-Gavula 202 693-0819 [email protected]

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Common Form ICR:  No

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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: 03/28/2007

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