Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MINE'S CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEFITS ACT, EMPLOYMENT HISTORY, AND MINER REIMBURSEMENT Migrated 52700 14533 0 Form CM-911A
Form CM-911
Form CM-915
Total burden requested under this ICR: 52700 14533 0  
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