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; 3) Miner Reimbursement Form Migrated 20200 9116 4000 Form CM-915
Form CM-911
Form CM-911A
Total burden requested under this ICR: 20200 9116 4000  
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