Information Collection

Notice Of Termination, Suspension, Reduction, Or Increase In Benefit Payments

IC 122030 under ICR 199110-1215-002 · OMB 1215-0064.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0064 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	NOTICE OF TERMINATION, SUSPENSION, REDUCTION, OR INCREASE IN BENEFIT PAYMENTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CM-908				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 325	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13,000	13,000
Annual IC Time Burden (Hours)	2,600	2,600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.