Information Collection

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

IC 43806 under ICR 202505-1240-003 · OMB 1240-0030.

Documents and Forms

Document Name Document Type
Form CM-908 Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form
Form CM-908 Notice of Termination, Suspension, or Increase in Benefit Payment Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments Form
CM-908 Notice of Termination, Suspension, or Increase in Benefi CM-908 Form.docx www.dol.gov/agencies/owcp/dcmwc/regs/compliance/blforms Form
CM-908 Notice of Termination, Suspension, or Increase in Benefi CM-908 Form.docx www.dol.gov/agencies/owcp/dcmwc/regs/compliance/blforms 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, or Increase in Benefit Payment	CM-908 Form.docx	https://www.dol.gov/agencies/owcp/dcmwc/regs/compliance/blforms	Yes	Yes	Fillable Printable

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: 30 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,607	526	6,081
Annual IC Time Burden (Hours)	1,321	105	1,216
Annual IC Cost Burden (Dollars)	3,607	1,029	2,578

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.

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