Docs Certify Comp Disabilities in DOL's Latest Form Quest
Published Date: 8/19/2026
Notice
Summary
The Department of Labor (DOL) is submitting this Office of Workers' Compensation Programs (OWCP)-sponsored information collection request (ICR) to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995 (PRA). Public comments on the ICR are invited.
Analyzed Economic Effects
3 provisions identified: 2 benefits, 1 costs, 0 mixed.
Form CA-21 Required for Benefits
If you are claiming continued workers' compensation disability, you or your doctor must provide medical documentation on OWCP Form CA-21 so claims examiners can decide eligibility and compute benefits. The notice says missing information could cause denials, delays, or incorrect payments and the form is tied to OMB Control Number 1240-0NEW.
Work-Capacity Info Helps Return-To-Work
The attending physician's note of work capacity on Form CA-21 will be used by rehabilitation specialists and nurses to help partially disabled employees return to suitable employment. This medical information supports vocational rehabilitation and placement decisions.
Paperwork Burden on Providers
The DOL estimates 33,372 respondents will complete this collection with a total annual burden of 2,620 hours and $20,774 in annual other costs. The collection is submitted for OMB review under Control Number 1240-0NEW and DOL seeks authorization for three (3) years.
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Previous / Next Documents
Previous: 2026-16899, Agency Information Collection Activities; Submission for OMB Review; Comment Request; Periodic Medical Surveillance Examinations for Coal Miners
The Department of Labor (DOL) is submitting this Mine Safety & Health Administration (MSHA)-sponsored information collection request (ICR) to the Office of Management and Budget (OMB) for review and approval in accordance with the Paperwork Reduction Act of 1995 (PRA). Public comments on the ICR are invited.
Next: 2026-16901, Proposed Extension of Information Collection: Form CA-2a, Notice of Recurrence
The Department of Labor, as part of its continuing effort to reduce paperwork and respondent burden, conducts a pre-clearance request for comment to provide the general public and Federal agencies with an opportunity to comment on proposed collections of information in accordance with the Paperwork Reduction Act of 1995. This request helps to ensure that: requested data can be provided in the desired format; reporting burden (time and financial resources) is minimized; collection instruments are clearly understood; and the impact of collection requirements on respondents can be properly assessed. Currently, the Office of Workers' Compensation Programs, Division of Federal Employees' Compensation, (OWCP/DFEC) is soliciting comments on the new information collection for the CA-2a, Notice of Recurrence.