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

ICR 202401-1240-002

OMB: 1240-0030

Federal Form Document

⚠️ Notice: This information collection may be outdated.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

2025-09-12 - Extension without change of a currently approved collection

Forms and Documents

Document Name	Status
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form	Modified
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form	Modified
Supporting Statement 1240-0030 CM-908 10.17.22 MM.docx Supporting Statement A	2024-01-30
Supporting Statement 1240-0030 CM-908 10.17.22 MM.docx Supporting Statement A	2024-01-30
Justification 908.docx Justification for No Material/Nonsubstantive Change	2024-01-30
Justification 908.docx Justification for No Material/Nonsubstantive Change	2024-01-30
System of Record Notice-DOL OWCP-2.pdf Supplementary Document	2018-07-31
System of Record Notice-DOL OWCP-2.pdf Supplementary Document	2018-07-31
20 CFR 725.621.pdf Supplementary Document	2009-01-16
20 CFR 725.621.pdf Supplementary Document	2009-01-16

IC Document Collections

IC ID	Document Title	Status
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

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