Notice Of Termination, Suspension, Reduction, Or Increase In Benefit Payments

NON- SUBSTANTIVE CHANGE REQUEST FOR THE NOTICE OF TERMINATION, SUSPENSION, REDUCTION, OR INCREASE IN BENEFIT PAYMENTS

OMB CONTROL NO. 1240-0030 (January 2024)

DCMWC is requesting a non-substantive change to the approved collection of information contained in the “Notice of Termination, Suspension, Reduction, or Increase in Benefit Payments” to update the URL of the coal mine portal and add our toll-free telephone number in the CM-908 Form.

DCMWC seeks to revise the approved CM-908 as follows:

• Two Filling Options:

1.To file electronically, submit completed form to the COAL Mine Portal: https://coalmine.dol.gov

2. To file by mail, submit completed form to:

OWCP/DCMWC/CMR Correspondence

PO Box 8307

London, KY 40742-8307

For Further information call TOLL FREE: 1-800-347-2502

This change request does not affect the burden hours. The burden hours remain the same.

The revised form is attached to this change request.