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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
BLACK LUNG PROGRAM PROVIDER INFORMATION AND DETERMINATION PHYSICIAN FORMS
Migrated
10740
1679
0
Form
CM-1169
Form
CM-1168,
Total burden requested under this ICR:
10740
1679
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
