ICR Documents

Supporting Statement A Document Date Uploaded 1240-0023 Supporting Statement 2017.doc 05/24/2017 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Privacy Act System of Records (ESA-30) DOL Privacy Act systems ESA-30.pdf Supplementary Document 02/10/2008 20 CFR 718.101 - .105 1240-0023 20CFR718.101 - 105.pdf Supplementary Document 05/27/2011 System of Record Notice System of Record Notice.pdf Supplementary Document 05/22/2017 Medical History and Examination for Coal Mine Workers' Pneumoconiosis CM-988 Medical History and Examination for Coal Mine Workers' Pneumoconiosis.pdf Supplementary Document 02/19/2020 Notice to Reviewer Notice To Reviewer.docx Justification for No Material/Nonsubstantive Change 05/14/2015 Justification for No material/Nonsubstantive Change to Medical Hisoty and Examination for Coal Mine Workers' Pneumoconiosis (CM-988) Justifiction - CM-988.docx Justification for No Material/Nonsubstantive Change 02/19/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received