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 10020 8768 2420 Form CM-911
Form CM-911a
Form CM-911
Form CM-911a
Total burden requested under this ICR: 10020 8768 2420  
To view an IC, click on IC Title