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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 Enrollment Form
Migrated
6500
525
2000
Form
CM-1168
Total burden requested under this ICR:
6500
525
2000
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.
