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View ICR - OIRA Conclusion

OMB Control No: 1215-0069	ICR Reference No: 197808-1215-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEFITS ACT (WIDOW OR SURVIVING DIVORCED WIFE)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/07/1978
	Date Received in OIRA: 08/17/1978
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/1983	07/31/1983
Responses	2,000	0	0
Time Burden (Hours)	666	0	0
Cost Burden (Dollars)	0	0	0

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