Overpayment Recovery Questionnaire

Overpayment Recovery Questionnaire

OMB: 1215-0144

IC ID: 38463

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Information Collection (IC) Details

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Overpayment Recovery Questionnaire
 
No Modified
 
Voluntary
 
20 CFR 725.544 (c) 20 CFR 10.430 - 10.441 20 CFR 30.510-520

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction OWCP-20 Overpayment Recovery Questionnaire owcp-20 8-11-2009.pdf http://www.dol.gov/esa/owcp/dfec/regs/compliance/OWCP-20.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

DOL/GOVT-1, ESA/DOL-6 Black Lung, DOL/ESA-30 Black Lung, DOL/ESA-49 EEOICPA   67 FR 16869

4,020 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 4,020 0 0 0 0 4,020
Annual IC Time Burden (Hours) 4,020 0 0 0 0 4,020
Annual IC Cost Burden (Dollars) 1,889 0 0 121 0 1,768

Title Document Date Uploaded
DOL/ESA-6 DOL Privacy Act systems ESA-6.pdf 08/02/2006
DOL/ESA-30 DOL-ESA-30.pdf 08/02/2006
DOL/ESA-49 DOL ESA-49.pdf 08/02/2006
supporting regulations EEOICPA Supporting regulations EEOICPA.pdf 08/02/2006
7385j-2 7385j-2.pdf 08/02/2006
30 USC 923b 30 USC 923 (b).pdf 08/02/2006
8129 Recovery of Overpayment 8129 Recovery of overpayments.pdf 08/02/2006
Section 725.544(c) FR 12-20-2000 Section 725.544(c) FR 12-20-2000.pdf 08/02/2006
Part 41- FCMHS Act of 1969, Title IV BL Benefits Part 410 FCMHS Act of 1969, Title IV - BL Benefits.pdf 08/02/2006
BL Initial Overpayment letter for OWCP-20 BL Initial Overpayment Letter for OWCP-20.pdf 08/02/2006
DOL GILS Record FECA Employee Compensation System DOL GILS Record - Federal Empoyee Compensation System.pdf 08/02/2006
FECA Form Letter 1 FECA Form Letter 1.pdf 08/02/2006
FECA Form Letter 2 FECA Form Letter 2.pdf 08/02/2006
Establishment Data ESTABLISHMENT DATA ESTABLISHMENT DATA.pdf 08/02/2006
Characteristics of Minimum Wage Employee Characteristics of Minimum Wage Employee.pdf 08/02/2006
20 CFR 10.430 - 10.441 20 CFR 10.430-10.441.doc 08/02/2006
20 CFR 410 Subpart A 20 CFR 410 Subpart A.doc 08/02/2006
Published FRN 1215-0144 Published FRN 1215-0144.pdf 08/03/2006
20 CFR 410 Subpart B 20 CFR 410 Subpart B.doc 08/04/2006
20 CFR 410 Subpart C 20 CFR 410 Subpart C.doc 08/04/2006
20 CFR 410 Subpart D 20 CFR 410 Subpart D.doc 08/04/2006
20 CFR 410 Subpart E 20 CFR 410 Subpart E.doc 08/04/2006
20 CFR 410 Subpart F 20 CFR 410 Subpart F.doc 08/04/2006
20 CFR 410 Subpart G 20 CFR 410 Subpart G.doc 08/04/2006
DOL/GOVT-1 Privacy Act Systems - DOL-GOVT-1.pdf 07/28/2009
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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