1) Comparability Of Current Work To Coal Mine Employment 2) Coal Mine Employment Affidavit 3) Affidavit Of Deceased Miner's Condition

1) COMPARABILITY OF CURRENT WORK TO COAL MINE EMPLOYMENT 2) COAL MINE EMPLOYMENT AFFIDAVIT 3) AFFIDAVIT OF DECEASED MINER'S CONDITION

OMB: 1215-0056

IC ID: 121984

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1) COMPARABILITY OF CURRENT WORK TO COAL MINE EMPLOYMENT 2) COAL MINE EMPLOYMENT AFFIDAVIT 3) AFFIDAVIT OF DECEASED MINER'S CONDITION
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CM-913, No No
Form CM-918, No No
Form CM-1093 No No


    

3,800 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 3,800 0 0 2,700 0 1,100
Annual IC Time Burden (Hours) 1,850 0 0 1,350 0 500
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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