Comparability of Current Work to Coal Mine Employment

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1240-0035 can be found here:

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_Exp_02-28-2011.pdf www.dol.gov/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_Exp_02-28-2011.pdf	http://www.dol.gov/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: 1,650	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,650	300	1,350
Annual IC Time Burden (Hours)	825	150	675
Annual IC Cost Burden (Dollars)	776	182	594

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.