Description of Coal Mine Work and Other Employment

Description of Coal Mine Work and Other Employment

OMB: 1240-0035

IC ID: 13691

Information Collection (IC) Details

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Description of Coal Mine Work and Other Employment
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 718.204

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.pdf http://www.dol.gov/regs/compliance/owcp/cm-913.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

DOL/ESA-6  67 FR 16869

1,650 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 1,650 0 0 0 0 1,650
Annual IC Time Burden (Hours) 1,100 0 275 0 0 825
Annual IC Cost Burden (Dollars) 858 0 0 0 0 858

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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