Form CA-1032 is used to obtain information from claimants receiving compensation for an extended period of time. This information is necessary to ensure that compensation being paid is correct.
US Code:
5 USC 8101-8193
Name of Law: Federal Employees' Compensation Act
The previous approved number of annual respondents, 50,000 is now 44, 800 which represents a decrease of 5, 200. The previously approved number for burden hours was 16, 667, and the requested number now is 14, 933, a decrease of 1, 734 hours. The annual cost burden likewise has reduced, from $23, 500 as previously approved, to $21, 504, an adjustment of $1, 996.
OWCP has made a few changes and minor clarifications to the Form CA-1032 for this approval request. These changes and clarifications would not materially alter the estimated per response burden, but do help to reduce the chance of respondents providing incorrect information and augment the disclosures OWCP must make to respondents.
In Part C, Dependency, revisions were made to applicable paragraphs when augmented compensation is based on claimant's same sex spouse.
On June 26, 2013, in United States v. Windsor, the U.S. Supreme Court ruled that Section 3 of the Defense of Marriage Act (DOMA) is unconstitutional. Section 3 of DOMA limited the definition of spouse to a person of the opposite sex who is a husband or wife, and as a result, augmented FECA compensation was not available based on a claimant's same sex spouse. The FECA program has long followed the policy that the validity of a marriage is determined by the law of the jurisdiction where the marriage took place. Thus, consistent with our existing procedures and the Supreme Court's decision in Windsor, claimants who can establish a same-sex marriage valid in the jurisdiction where it took place will be eligible for augmented FECA benefits based on that marriage regardless of their place of residence or domicile.
Additionally, the CA-1032 is revised to include an accommodation statement to inform claimants who have mental or physical limitations to contact DFEC if further assistance is needed with the claims process including accessible formats.
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:
(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;
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.
Form CA-1032 Request for Information on Earnings, Dual Benefits, Dependents and Third Part Settlements
5 USC Sections 8105, 8106, 8110, 8132 and 8148.doc
2013 OPM Salary Table Hourly.pdf
Request for Information on Earnings, Dual Benefits, Dependents and Third Part Settlements