Notice to OMB Reviewer:
The Office of Workers’ Compensation Programs (OWCP) Division of Federal Employees’ Compensation (DFEC) is requesting a non-material change to the CA-7 Form, which is noted in OMB No. 1240-0046, which currently expires 8/31/2026.
1. On 10/11/2024, OMB approved new OWCP Form CA-9, Claim for Schedule Award, for collection of data of schedule award claims filed. OMB 1240-0064, reference number 202209-1240-002. This data was previously collected on Form CA-7, Claim for Compensation.
2. On 12/13/2024, OMB approved a nonmaterial change to Form CA-7 removing the data collection that was placed on Form CA-9. OMB 1240-0046, reference number 202412-1240-001.
3. OWCP is now reversing its decision on this information collection and instead again will collect the information on Form CA-7. As such, OWCP requests a nonmaterial change to Form CA-7, adding option (d) to Section (2) for schedule award filings. The appropriate instruction will also be added back to the third page of the form.
4. As this information collection is shifting from one form to another, there is no burden impact.
5. OWCP has concurrently submitted a request for discontinuance of Form CA-9 within OMB No. 1240-0064 which currently expires 10/31/2027.
In summary, the program would like to submit a nonmaterial change to OMB No. 1240-0046 to add the Schedule Award filing option to the CA-7. See included draft form.
Return reference to the SA on the CA-7 in item 2d and the instructions as noted above.
OWCP will also submit a discontinuance request for OMB No. 1240-0064, CA-9, which currently expires 10/31/2027.
Discontinue the CA-9 Form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Sharpless, Marcus J - OWCP |
| File Modified | 0000-00-00 |
| File Created | 2025-02-20 |