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Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments
Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments
OMB: 1215-0064
IC ID: 43806
OMB.report
DOL/ESA
OMB 1215-0064
ICR 200901-1215-001
IC 43806
( )
Documents and Forms
Document Name
Document Type
Form CM-908
Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments
Form
CM-908 Notice of Termination, Suspension, Reduction, or Increas
CM-908 5-06-2009.pdf
www.dol.gov/esa/owcp/regs/compliance/cm-908.pdf
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, Reduction, or Increase in Benefit Payments
CM-908 5-06-2009.pdf
http://www.dol.gov/esa/owcp/regs/compliance/cm-908.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:
FR Citation:
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:
0 %
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
7,000
0
0
-500
0
7,500
Annual IC Time Burden (Hours)
1,400
0
0
-100
0
1,500
Annual IC Cost Burden (Dollars)
6,300
0
0
300
0
6,000
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.