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 0 0 Form CM-911A
Form CM-915
Form CM-911
Total burden requested under this ICR: 20200 0 0  
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