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View ICR - OIRA Conclusion

OMB Control No: 1215-0052	ICR Reference No: 198305-1215-001
Status: Historical Active	Previous ICR Reference No: 198107-1215-009
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: MINER'S CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEFITS ACT, HISTORY OF COAL MINE EMPLOYMENT, AND DRUG, RESPIRATORY THERAPY, OXYGEN AND MEDICAL EQUIPMENT REIMBURSEMENT FORM
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: 05/26/1983
	Date Received in OIRA: 05/03/1983
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/1986	05/31/1986	07/31/1984
Responses	172,000	0	510,000
Time Burden (Hours)	28,083	0	140,000
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	172,000	510,000	-338,000
Annual Time Burden (Hours)	28,083	140,000	-111,917
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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