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

View Information Collection (IC)

Description of Coal Mine Work and Other Employment
 
No Modified
 
Required to Obtain or Retain Benefits
 
20 CFR 718.204b1 20 CFR 725.405b

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CM-913 Description of Coal Mine Work and Other Employment Description of Coal Mine Work and other employment-Form CM-913.docx https://www.dol.gov/sites/dolgov/files/owcp/regs/compliance/cm-913.pdf Yes Yes Fillable Printable

Income Security General Retirement and Disability

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

4,710 0
   
Individuals or Households
 
   20 %

  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 4,710 0 -1,390 0 0 6,100
Annual IC Time Burden (Hours) 2,355 0 -695 0 0 3,050
Annual IC Cost Burden (Dollars) 2,600 0 -915 0 0 3,515

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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