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⚠️ Notice: This information collection may be referencing outdated material.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 Form CM-908 with changes 5-11.22.docx eclaimant.dol.gov/portal/?program_name=BL Form
CM-908 Notice of Termination, suspension, reduction, or increas Form CM-908 with changes 5-11.22.docx eclaimant.dol.gov/portal/?program_name=BL 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 payment	Form CM-908 with changes 5-11.22.docx	https://eclaimant.dol.gov/portal/?program_name=BL	Yes	Yes	Fillable Fileable Signable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: System of Record Notice OWCP-2	FR Citation: 86 FR 33377

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: 75 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	6,081	1,181	4,900
Annual IC Time Burden (Hours)	1,216	236	980
Annual IC Cost Burden (Dollars)	2,578	500	2,078

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.