Information Collection

Standards For Determining Coal Miners' Disability Due To Pneumoconiosis

IC 122129 under ICR 198005-1215-004 · OMB 1215-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0090 can be found here:

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Information Collection (IC) Details

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IC Title:	STANDARDS FOR DETERMINING COAL MINERS' DISABILITY DUE TO PNEUMOCONIOSIS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	ESA 20 CFR				No	No
Form	PART 718				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	160,000	160,000
Annual IC Time Burden (Hours)	40,000	40,000
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.