View Information Collection (IC) List View Supporting Statement and Other Documents
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.


View ICR - OIRA Conclusion



1215-0069 199601-1215-002
Historical Active 199502-1215-002
DOL/ESA
Survivor's Claim for Benefits under the Black Lung Benefits Act
Extension without change of a currently approved collection   No
Regular
Approved without change 03/25/1996
01/26/1996
Approved; DOL responses of 3/20/96 and 3/25/96 accepted. It is noted however that ESA shall recognize in future PRA submissions that there is a burden cost placed on the elderly and beneficiaries when filling out these forms despite the respondents current employment status. DOL did not solicit comments in accordance with Section 1320.8 (d)(1) of 5 CFR part 1320 therefore prior to the next PRA clearance DOL shall comply with this section.
  Inventory as of this Action Requested Previously Approved
03/31/1999 03/31/1999 03/31/1996
1,200 0 1,200
500 0 500
0 0 0