ICR Documents

Supporting Statement A Document Date Uploaded Supporting Statement 1240-0034 (CM-936) 2018.doc 11/02/2018 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded DOL/ESA-30 DOL-ESA-30.pdf Supplementary Document 08/09/2006 30 Black Lung Benefits Act Chapter 22 30 Chapter 22.pdf Supplementary Document 08/09/2006 30 USC Sec. 901 30 USC Sec. 901.pdf Supplementary Document 08/09/2006 30 USC Sec. 902 30 USC Sec. 902.pdf Supplementary Document 08/09/2006 725.405 725.405.pdf Supplementary Document 08/09/2006 SORN System of Record Notice-DOL OWCP-2.pdf Supplementary Document 09/27/2018 Justification for No Material/Nonsubstantive Change (CM-936) Justification - Authorization for Release of Medical Information (Black Lung Benefits) (CM-936).docx Justification for No Material/Nonsubstantive Change 10/22/2020 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received