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Agenda
Reg Review
ICR
View Information Collection (IC)
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 725.544 (c)
20 CFR 10.430 - 10.441
20 CFR 30.510-520
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
OWCP-20
Overpayment Recovery Questionnaire
owcp-20.pdf
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, ESA/DOL-6 Black Lung, DOL/ESA-30 Black Lung, DOL/ESA-49 EEOICPA
FR Citation:
67 FR 16869
Number of Respondents:
3,393
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
3,393
0
0
305
0
3,088
Annual IC Time Burden (Hours)
3,393
0
0
305
0
3,088
Annual IC Cost Burden (Dollars)
1,954
0
0
472
0
1,482
Documents for IC
Title
Document
Date Uploaded
DOL/ESA-6
DOL Privacy Act systems ESA-6.pdf
08/02/2006
DOL/ESA-30
DOL-ESA-30.pdf
08/02/2006
DOL/ESA-49
DOL ESA-49.pdf
08/02/2006
supporting regulations EEOICPA
Supporting regulations EEOICPA.pdf
08/02/2006
7385j-2
7385j-2.pdf
08/02/2006
30 USC 923b
30 USC 923 (b).pdf
08/02/2006
8129 Recovery of Overpayment
8129 Recovery of overpayments.pdf
08/02/2006
Section 725.544(c) FR 12-20-2000
Section 725.544(c) FR 12-20-2000.pdf
08/02/2006
Part 41- FCMHS Act of 1969, Title IV BL Benefits
Part 410 FCMHS Act of 1969, Title IV - BL Benefits.pdf
08/02/2006
BL Initial Overpayment letter for OWCP-20
BL Initial Overpayment Letter for OWCP-20.pdf
08/02/2006
DOL GILS Record FECA Employee Compensation System
DOL GILS Record - Federal Empoyee Compensation System.pdf
08/02/2006
FECA Form Letter 1
FECA Form Letter 1.pdf
08/02/2006
FECA Form Letter 2
FECA Form Letter 2.pdf
08/02/2006
Establishment Data
ESTABLISHMENT DATA ESTABLISHMENT DATA.pdf
08/02/2006
Characteristics of Minimum Wage Employee
Characteristics of Minimum Wage Employee.pdf
08/02/2006
20 CFR 10.430 - 10.441
20 CFR 10.430-10.441.doc
08/02/2006
20 CFR 410 Subpart A
20 CFR 410 Subpart A.doc
08/02/2006
Published FRN 1215-0144
Published FRN 1215-0144.pdf
08/03/2006
20 CFR 410 Subpart B
20 CFR 410 Subpart B.doc
08/04/2006
20 CFR 410 Subpart C
20 CFR 410 Subpart C.doc
08/04/2006
20 CFR 410 Subpart D
20 CFR 410 Subpart D.doc
08/04/2006
20 CFR 410 Subpart E
20 CFR 410 Subpart E.doc
08/04/2006
20 CFR 410 Subpart F
20 CFR 410 Subpart F.doc
08/04/2006
20 CFR 410 Subpart G
20 CFR 410 Subpart G.doc
08/04/2006
DOL/GOVT-1
Privacy Act Systems - DOL-GOVT-1.pdf
07/28/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.