Information Collection

Notice of Termination, Suspension, Reduction or Increase in Benefit Payments

IC 13709 under ICR 200306-1215-003 · OMB 1215-0064.

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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	9,000	9,000
Annual IC Time Burden (Hours)	1,800	1,800
Annual IC Cost Burden (Dollars)	3,000	3,000

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.