Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MINER'S CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEFITS ACT, HISTORY OF COAL MINE EMPLOYMENT, AND DRUG, RESPIRATORY THERAPY, OXYGEN AND MEDICAL EQUIPMENT REIMBURSEMENT FORM Migrated 172000 28083 0 Form CM-911,
Form & CM-915
Form CM-911A,
Total burden requested under this ICR: 172000 28083 0  
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