View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1215-0052	ICR Reference No: 200506-1215-004
Status: Historical Active	Previous ICR Reference No: 200407-1215-004
Agency/Subagency: DOL/ESA	Agency Tracking No:
Title: 1) Miner's Claim for Benefits Under the Black Lung Benefits Act; 2) Employment History
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: 09/21/2005
	Date Received in OIRA: 06/20/2005
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2008	09/30/2008	09/30/2005
Responses	9,000	0	10,700
Time Burden (Hours)	6,333	0	7,533
Cost Burden (Dollars)	1,000	0	1,000

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