Comparability of Current Work to Coal Mine Employment

Documents and Forms

Document Name Document Type
Form CM-913 Comparability of Current Work to Coal Mine Employment Form
CM-913 Comparability of Current Work to Coal Mine Employment CM-913 01-2008.doc www.dol.gov/esa/regs/compliance/owcp/cm-913.pdf Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Comparability of Current Work to Coal Mine Employment	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 20 CFR 718.204

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CM-913	Comparability of Current Work to Coal Mine Employment	CM-913 01-2008.doc	http://www.dol.gov/esa/regs/compliance/owcp/cm-913.pdf	Yes	Yes	Fillable Fileable

Line of Business: Income Security

Subfunction: General Retirement and Disability

Privacy Act System of Records
Title: DOL/ESA-6	FR Citation: 67 FR 16869

Number of Respondents: 1,350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,350	-150	1,500
Annual IC Time Burden (Hours)	675	-38	713
Annual IC Cost Burden (Dollars)	594	-406	1,000

Documents for IC

Title	Document	Date Uploaded
No associated records found

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