Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
1) Miner's Claim for Benefits Under the Black Lung Benefits Act; 2) Employment History Modified 11000 7750 2058 Form CM-911 Miner's Claim for Benefits Under the Black Lung Benefits Act
Form CM-911A Employment History
Total burden requested under this ICR: 11000 7750 2058  
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