View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0052	ICR Reference No: 199502-1215-001
Status: Historical Active	Previous ICR Reference No: 199112-1215-003
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: MINE'S CLAIM FOR BENEFITS UNDER THE BLACK LUNG BENEFITS ACT, EMPLOYMENT HISTORY, AND MINER REIMBURSEMENT
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/13/1995
	Date Received in OIRA: 02/21/1995
Terms of Clearance: Approved as amended by DOL's 4/13/95 memorandum to OMB.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/1996	04/30/1996	04/30/1995
Responses	52,700	0	0
Time Burden (Hours)	14,533	0	14,533
Cost Burden (Dollars)	0	0	0

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