View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0069	ICR Reference No: 198307-1215-004
Status: Historical Active	Previous ICR Reference No: 197812-1215-008
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEIFTS ACT (WIDOW OR SURVIVING DIVORCED WIFE)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 07/22/1983
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/22/1983
	Date Received in OIRA: 07/22/1983
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/1983	09/30/1983	07/31/1983
Responses	8,000	0	8,000
Time Burden (Hours)	2,666	0	2,666
Cost Burden (Dollars)	0	0	0

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