Notice of Recurrence

Notice of Recurrence

OMB: 1240-0009

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 Notice of Recurrence ca-2a 4-21-2011.pdf http://www.dol.gov/owcp/regs/compliance/ca-2a.pdf Yes No Fillable Printable

Income Security General Retirement and Disability

DOL/GOVT-1  67 FR 16817

314 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 314 0 0 -366 0 680
Annual IC Time Burden (Hours) 157 0 0 -183 0 340
Annual IC Cost Burden (Dollars) 148 0 0 -151 0 299

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