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

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

OMB: 1240-0030

IC ID: 43806

Documents and Forms
Document Name
Document Type
Form
Form
Form
Form
Information Collection (IC) Details

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Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments
 
No Modified
 
Mandatory
 
20 CFR 725.621

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 CM-908 Form.docx https://www.dol.gov/agencies/owcp/dcmwc/regs/compliance/blforms#black Yes Yes Fillable Printable

Income Security General Retirement and Disability

System of Record Notice OWCP-2  86 FR 33377

325 0
   
Private Sector Businesses or other for-profits
 
   75 %

  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 6,081 0 0 0 0 6,081
Annual IC Time Burden (Hours) 1,216 0 0 0 0 1,216
Annual IC Cost Burden (Dollars) 2,578 0 0 0 0 2,578

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