Information Collection

Overpayment Recovery Questionnaire

IC 38463 under ICR 202507-1240-001 · OMB 1240-0051.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form OWCP-20 Overpayment Recovery Questionnaire	Form and Instruction
Form OWCP-20 Overpayment Recovery Questionnaire Overpayment Recovery Questionnaire	Form and Instruction
OWCP-20 Overpayment Recovery Questionnaire 1240-0051 Overpayment Questionnaire (OWCP-20).rtf www.dol.gov/esa/owcp/dfec/regs/compliance/OWCP-20.pdf	Form and Instruction
OWCP-20 Overpayment Recovery Questionnaire 1240-0051 Overpayment Questionnaire (OWCP-20).rtf www.dol.gov/esa/owcp/dfec/regs/compliance/OWCP-20.pdf	Form and Instruction
DOL Privacy Act systems ESA-6.pdf DOL/ESA-6	IC Document
DOL Privacy Act systems ESA-6.pdf DOL/ESA-6	IC Document
DOL-ESA-30.pdf DOL/ESA-30	IC Document
DOL-ESA-30.pdf DOL/ESA-30	IC Document
DOL ESA-49.pdf DOL/ESA-49	IC Document
DOL ESA-49.pdf DOL/ESA-49	IC Document
Supporting regulations EEOICPA.pdf supporting regulations EEOICPA	IC Document
Supporting regulations EEOICPA.pdf supporting regulations EEOICPA	IC Document
7385j-2.pdf 7385j-2	IC Document
7385j-2.pdf 7385j-2	IC Document
30 USC 923 (b).pdf 30 USC 923b	IC Document
30 USC 923 (b).pdf 30 USC 923b	IC Document
8129 Recovery of overpayments.pdf 8129 Recovery of Overpayment	IC Document
8129 Recovery of overpayments.pdf 8129 Recovery of Overpayment	IC Document
Section 725.544(c) FR 12-20-2000.pdf Section 725.544(c) FR 12-20-2000	IC Document
Section 725.544(c) FR 12-20-2000.pdf Section 725.544(c) FR 12-20-2000	IC Document
Part 410 FCMHS Act of 1969, Title IV - BL Benefits.pdf Part 41- FCMHS Act of 1969, Title IV BL Benefits	IC Document
Part 410 FCMHS Act of 1969, Title IV - BL Benefits.pdf Part 41- FCMHS Act of 1969, Title IV BL Benefits	IC Document
BL Initial Overpayment Letter for OWCP-20.pdf BL Initial Overpayment letter for OWCP-20	IC Document
BL Initial Overpayment Letter for OWCP-20.pdf BL Initial Overpayment letter for OWCP-20	IC Document
DOL GILS Record - Federal Empoyee Compensation System.pdf DOL GILS Record FECA Employee Compensation System	IC Document
DOL GILS Record - Federal Empoyee Compensation System.pdf DOL GILS Record FECA Employee Compensation System	IC Document
FECA Form Letter 1.pdf FECA Form Letter 1	IC Document
FECA Form Letter 1.pdf FECA Form Letter 1	IC Document
FECA Form Letter 2.pdf FECA Form Letter 2	IC Document
FECA Form Letter 2.pdf FECA Form Letter 2	IC Document
ESTABLISHMENT DATA ESTABLISHMENT DATA.pdf Establishment Data	IC Document
ESTABLISHMENT DATA ESTABLISHMENT DATA.pdf Establishment Data	IC Document
Characteristics of Minimum Wage Employee.pdf Characteristics of Minimum Wage Employee	IC Document
Characteristics of Minimum Wage Employee.pdf Characteristics of Minimum Wage Employee	IC Document
20 CFR 10.430-10.441.doc 20 CFR 10.430 - 10.441	IC Document
20 CFR 10.430-10.441.doc 20 CFR 10.430 - 10.441	IC Document
20 CFR 410 Subpart A.doc 20 CFR 410 Subpart A	IC Document
20 CFR 410 Subpart A.doc 20 CFR 410 Subpart A	IC Document
20 CFR 410 Subpart B.doc 20 CFR 410 Subpart B	IC Document
20 CFR 410 Subpart B.doc 20 CFR 410 Subpart B	IC Document
20 CFR 410 Subpart C.doc 20 CFR 410 Subpart C	IC Document
20 CFR 410 Subpart C.doc 20 CFR 410 Subpart C	IC Document
20 CFR 410 Subpart D.doc 20 CFR 410 Subpart D	IC Document
20 CFR 410 Subpart D.doc 20 CFR 410 Subpart D	IC Document
20 CFR 410 Subpart E.doc 20 CFR 410 Subpart E	IC Document
20 CFR 410 Subpart E.doc 20 CFR 410 Subpart E	IC Document
20 CFR 410 Subpart F.doc 20 CFR 410 Subpart F	IC Document
20 CFR 410 Subpart F.doc 20 CFR 410 Subpart F	IC Document
20 CFR 410 Subpart G.doc 20 CFR 410 Subpart G	IC Document
20 CFR 410 Subpart G.doc 20 CFR 410 Subpart G	IC Document
Privacy Act Systems - DOL-GOVT-1.pdf DOL/GOVT-1	IC Document
Privacy Act Systems - DOL-GOVT-1.pdf DOL/GOVT-1	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Overpayment Recovery Questionnaire

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 10.430 - 10.441 20 CFR 725.544 (c) 20 CFR 30.510-520

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	OWCP-20			http://www.dol.gov/esa/owcp/dfec/regs/compliance/OWCP-20.pdf	Yes	No	Fillable Printable

Federal Enterprise Architecture Business Reference Module

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records

Title: DOL/GOVT-1, DOL/OWCP-11, DOL/OWCP-9, DOL/OWCP-2

FR Citation: 81 FR 25766

Number of Respondents: 3,235

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	3,235	0	1,357	1,878
Annual IC Time Burden (Hours)	3,235	0	1,357	1,878
Annual IC Cost Burden (Dollars)	769	-320	0	1,089

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
DOL/ESA-6		08/02/2006
DOL/ESA-30		08/02/2006
DOL/ESA-49		08/02/2006
supporting regulations EEOICPA		08/02/2006
7385j-2		08/02/2006
30 USC 923b		08/02/2006
8129 Recovery of Overpayment		08/02/2006
Section 725.544(c) FR 12-20-2000		08/02/2006
Part 41- FCMHS Act of 1969, Title IV BL Benefits		08/02/2006
BL Initial Overpayment letter for OWCP-20		08/02/2006
DOL GILS Record FECA Employee Compensation System		08/02/2006
FECA Form Letter 1		08/02/2006
FECA Form Letter 2		08/02/2006
Establishment Data		08/02/2006
Characteristics of Minimum Wage Employee		08/02/2006
20 CFR 10.430 - 10.441		08/02/2006
20 CFR 410 Subpart A		08/02/2006
20 CFR 410 Subpart B		08/04/2006
20 CFR 410 Subpart C		08/04/2006
20 CFR 410 Subpart D		08/04/2006
20 CFR 410 Subpart E		08/04/2006
20 CFR 410 Subpart F		08/04/2006
20 CFR 410 Subpart G		08/04/2006
DOL/GOVT-1		07/28/2009

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

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