Notice of Recurrence

Notice of Recurrence

OMB: 1215-0167

IC ID: 13870

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Notice of Recurrence
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 10.104

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction ca-2a Claim for Recurrence ca-2a.pdf http://www.dol.gov/esa/regs/compliance/owcp/ca-2a.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

DOL/GOVT-1  67 FR 16817

680 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 680 0 0 -28 0 708
Annual IC Time Burden (Hours) 340 0 0 -14 0 354
Annual IC Cost Burden (Dollars) 299 0 0 299 0 0

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

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