Information Collection Request

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

ICR 202401-1240-002 · OMB 1240-0030 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form Modified Available
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form Modified Repair queued
Supporting Statement 1240-0030 CM-908 10.17.22 MM.docx Supporting Statement A Uploaded 2024-01-30 Available
Supporting Statement 1240-0030 CM-908 10.17.22 MM.docx Supporting Statement A Uploaded 2024-01-30 Repair queued
Justification 908.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-01-30 Available
Justification 908.docx Justification for No Material/Nonsubstantive Change Uploaded 2024-01-30 Repair queued
System of Record Notice-DOL OWCP-2.pdf Supplementary Document Uploaded 2018-07-31 Available
System of Record Notice-DOL OWCP-2.pdf Supplementary Document Uploaded 2018-07-31 Repair queued
20 CFR 725.621.pdf Supplementary Document Uploaded 2009-01-16 Available
20 CFR 725.621.pdf Supplementary Document Uploaded 2009-01-16 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
43806 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form Modified
43806 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form Modified

ICR Details

Record metadata
Active
DOL/OWCP
1240-0030
No material or nonsubstantive change to a currently approved collection
202205-1240-002
2024-01-31
1969-12-31