Information collected with this form
is used to evaluate the financial profile of OWCP beneficiaries who
have been overpaid benefits, and their ability to repay. OWCP
beneficiaries are typically retired coal miners disabled by black
lung disease, Federal employees injured on the job, and their
survivors.
US Code:
5
USC 923(b) Name of Law: Federal Coal Mine Health and Safety Act
of 1969
There has been a reduction of
500 burden hours from 4,520 to 4,020 which is an adjustment of
hours because benefit checks were issued after a beneficiary's
death prior to notification of the death overpayments, repayment of
the debt is not the burden of the person that received a
descendant's benefits. The burden is on the bank that improperly
failed to close the account and paid out the money. Rather than
using the OWCP-20 form that a claimant debtor would complete, these
overpayments are recovered using a protected need-to-know
Department of Treasury website service to collect from the liable
bank.
$131,331
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Mark Bedont 202 693-0815
bedont.mark@dol.gov
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:
(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.