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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1240-0030 can be found here:

Documents and Forms

Document Name Document Type
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form
CM-908 Notice of Termination, Suspension, Reduction, or Increas 1240-0030 Notice of Termination Suspension Reduction or Increase in Benefits (CM-908).pdf www.dol.gov/owcp/regs/compliance/cm-908.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 20 CFR 725.621

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CM-908	Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments	1240-0030 Notice of Termination Suspension Reduction or Increase in Benefits (CM-908).pdf	http://www.dol.gov/owcp/regs/compliance/cm-908.pdf	Yes	Yes	Fillable Printable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: System of Record Notice OWCP-2	FR Citation: 81 FR 25765

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	3,900	3,900
Annual IC Time Burden (Hours)	780	780
Annual IC Cost Burden (Dollars)	3,721	3,721

Documents for IC

Title	Document	Date Uploaded
No associated records found

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