Overpayment Recovery Questionnaire

ICR 201902-1240-001

OMB: 1240-0051

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2019-02-22
Supporting Statement A
2019-03-20
Supplementary Document
2009-02-25
Supplementary Document
2009-02-25
Supplementary Document
2009-02-25
IC Document Collections
IC ID
Document
Title
Status
38463 Modified
ICR Details
1240-0051 201902-1240-001
Active 201507-1240-002
DOL/OWCP
Overpayment Recovery Questionnaire
Extension without change of a currently approved collection   No
Regular
Approved without change 07/10/2019
Retrieve Notice of Action (NOA) 05/01/2019
  Inventory as of this Action Requested Previously Approved
07/31/2022 36 Months From Approved 07/31/2019
2,078 0 3,393
2,078 0 3,393
1,205 0 1,954

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
   US Code: 42 USC 7385j-2 Name of Law: Federal Coal Mine Health and Safety Act
   US Code: 5 USC 8129(b) Name of Law: Federal Coal Mine Health and Safety Act
  
None

Not associated with rulemaking

  84 FR 1232 02/01/2019
84 FR 19853 05/01/2019
No

1
IC Title Form No. Form Name
Overpayment Recovery Questionnaire OWCP-20 Overpayment Recovery Questionnaire

  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 2,078 3,393 0 0 -1,315 0
Annual Time Burden (Hours) 2,078 3,393 0 0 -1,315 0
Annual Cost Burden (Dollars) 1,205 1,954 0 0 -749 0
No
No
There was no change to the burden hours to the Black Lung related to instances where benefits checks were issued after a beneficiary’s death and prior to receipt of notification of the death by the BL program. Under Treasury procedures with post mortem 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 by using a protected need-to-know Department of the Treasury web site service to collect from the liable bank. This service is currently called by Treasury PACER for Payment and Claims Enhanced Reconciliation and is commonly referred to as POL for PACER-On-Line. There has been no change in the annual responses. FOR DFEC. The number of newly identifiable overpayments has decreased over the last few years. We attribute this decrease to enhanced computer system to monitor employees return to work and terminating benefits effective the next periodic roll cycle instead in the middle of a periodic roll cycle, which could create an overpayment. Consequently, these factors contributed to the reduction in burden hours and costs associated with the requirement to complete this form associated with declaring an overpayment in compensation.

$81,561
No
    Yes
    Yes
No
No
No
Uncollected
Yoon Ferguson 202 693-0701 ferguson.yoon@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.
05/01/2019


© 2024 OMB.report | Privacy Policy