DOL Seeks Feedback to Keep Job Info Form CA-1027 Alive
Published Date: 3/11/2025
Notice
Summary
The Department of Labor wants to keep collecting job info using form CA-1027 and is asking for your thoughts to make sure it’s easy and quick to fill out. This affects workers and employers who provide employment details, with no new costs or big changes planned. You’ve got until May 12, 2025, to share your feedback and help keep paperwork simple!
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
Form CA-1027 remains used to decide FECA claims
If you are a Federal employee injured at work, OWCP will keep using the CA-1027 to get earnings information from a private employer to determine your entitlement to compensation benefits under the Federal Employees' Compensation Act (5 U.S.C. 8106). The agency is renewing the information collection without change so the form will continue to be used for that purpose.
Paperwork burden for private employers stays small
If you are a private employer, the Department of Labor will continue using form CA-1027 and estimates 10 total respondents and 10 responses annually. OWCP estimates the annual burden is 3 hours total and $92 total in respondent costs for this collection.
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Key Dates
Department and Agencies
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