2026-02151Notice

Proposed Extension of a Currently Approved Information Collection: Claim for Compensation by Dependents Information Reports

Published Date: 2/3/2026

Notice

Summary

The Department of Labor wants to keep collecting info from people claiming compensation for dependents but is asking for your thoughts to make the process easier and less time-consuming. This affects folks filing forms like CA-5 and CA-1031 to get benefits after a loved one’s death. You’ve got until April 6, 2026, to share your ideas—no cost changes, just smoother paperwork!

Analyzed Economic Effects

1 provisions identified: 0 benefits, 1 costs, 0 mixed.

Dependents Compensation Forms Extended

The Department of Labor will continue collecting information for survivor/dependent claims using forms CA-5, CA-5b, CA-1031, CA-1074, and the Form Letter “Compensation Due at Death” as an extension without change. The collection covers 1,241 respondents, totals 1,063 annual burden hours, and shows $730 in annual respondent or recordkeeper cost. You may submit comments about reducing burden by April 6, 2026.

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Key Dates

Published Date
Comments Due
2/3/2026
4/6/2026

Department and Agencies

Department
Independent Agency
Agency
Labor Department
Workers' Compensation Programs Office
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