Report of Changes That May Affect Your Black Lung Benefits

Report of Changes That May Affect Your Black Lung Benefits

OMB: 1240-0028

IC ID: 13756

Information Collection (IC) Details

View Information Collection (IC)

Report of Changes That May Affect Your Black Lung Benefits
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 725.513(a) 20 CFR 725.533(e)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CM-929 Report of Changes That May Affect Your Black Lung Benefits CM-929.pdf http://www.dol.gov/owcp/regs/compliance/cm-929.pdf Yes No Printable Only
Form and Instruction CM-929P Report of Changes That May Affect Your Black Lung Benefits CM-929P.pdf http://www.dol.gov/owcp/regs/compliance/cm-929P.pdf Yes No Printable Only
Form and Instruction CM-929 Report of Changes That May Affect Your Black Lung Benefits 20210106 Form CM-929 Final.docx http://www.dol.gov/owcp/regs/compliance/cm-929P.pdf Yes Yes Fillable Printable
Form and Instruction CM-929P Report of Changes That May Accect Your Black Lung Benefits 20210106 Form CM-929p Final.docx http://www.dol.gov/owcp/regs/compliance/cm-929P.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

DOL/OWCP-2 and DOL/OWCP-9   81 FR 25765

12,000 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 12,000 0 0 -14,000 0 26,000
Annual IC Time Burden (Hours) 2,810 0 0 -3,279 0 6,089
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy