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View ICR - OIRA Conclusion

OMB Control No: 1215-0052	ICR Reference No: 199903-1215-004
Status: Historical Active	Previous ICR Reference No: 199602-1215-003
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: 1) Miner's Claim for Benefits under the Black Lung Benefits Act; 2) Employment History; 3) Miner Reimbursement Form
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: 05/26/1999
	Date Received in OIRA: 03/26/1999
Terms of Clearance: Approved consistent with clarification in DOL memo of 5-26-99.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2002	05/31/2002	05/31/1999
Responses	20,200	0	20,200
Time Burden (Hours)	9,116	0	9,116
Cost Burden (Dollars)	4,000	0	3,000

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