Operator Response to Schedule for Submission of Additional Evidence, and Operator Response to Notice of Claim

Coal Mine Operator Response to Schedule for Submission of Additional Evidence and Operator Response to Notice of Claim

OMB: 1240-0033

IC ID: 13697

Information Collection (IC) Details

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Operator Response to Schedule for Submission of Additional Evidence, and Operator Response to Notice of Claim
 
No Modified
 
Mandatory
 
20 CFR 725.412 20 CFR 725.408 20 CFR 725.407

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CM-2970 Operator Response to Schedule for Submission of Additional Evidence cm-2970.pdf http://www.dol.gov/owcp/regs/compliance/cm-2970.pdf Yes Yes Fillable Printable
Form CM-2970a Operator Response to Notice of Claim cm-2970a.pdf http://www.dol.gov/owcp/regs/compliance/cm-2970a.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

DOL/OWCP-2  81 FR 25858

4,800 4,800
   
Private Sector Businesses or other for-profits
 
   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 9,600 0 0 0 0 9,600
Annual IC Time Burden (Hours) 2,000 0 0 0 0 2,000
Annual IC Cost Burden (Dollars) 4,800 0 0 96 0 4,704

Title Document Date Uploaded
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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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