NOTICE OF TERMINATION, SUSPENSION, REDUCTION, OR INCREASE IN BENEFIT PAYMENTS

ICR 198306-1215-004

OMB: 1215-0064

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1215-0064 198306-1215-004
Historical Active 197808-1215-014
DOL/ESA
NOTICE OF TERMINATION, SUSPENSION, REDUCTION, OR INCREASE IN BENEFIT PAYMENTS
Revision of a currently approved collection   No
Regular
Approved without change 07/29/1983
Retrieve Notice of Action (NOA) 06/07/1983
  Inventory as of this Action Requested Previously Approved
04/30/1986 04/30/1986 07/31/1983
15,000 0 10,000
3,000 0 833
0 0 0

ONCE THE COAL MINE OPERATOR HAS BEGUN TO PAY BENEFITS, DOL MUST BE NOTIFIED OF CHANGES. DOL CAN THEN MONITOR BENEFIT PAYMENTS MADE BY CO MINE OPERATORS.

None
None


No

1
IC Title Form No. Form Name
NOTICE OF TERMINATION, SUSPENSION, REDUCTION, OR INCREASE IN BENEFIT PAYMENTS CM-908

  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 15,000 10,000 0 -960 5,960 0
Annual Time Burden (Hours) 3,000 833 0 -416 2,583 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/07/1983


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