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Form CM-929 Report of Changes That May Affect Your Black Lung Benefi
Report of Changes That May Affect Your Black Lung Benefits
929 updated form
Report of Changes That May Affect Your Black Lung Benefits
OMB: 1240-0028
OMB.report
DOL/OWCP
OMB 1240-0028
ICR 202311-1240-005
IC 13756
Form CM-929 Report of Changes That May Affect Your Black Lung Benefi
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0028 can be found here:
2024-07-17 - No material or nonsubstantive change to a currently approved collection
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