OMB
.report
Search
SS 1240-0027 CM-912 2023_OCIO-Final
SS 1240-0027 CM-912 2023_OCIO-Final.docx
Survivor's Form for Benefits Under the Black Lung Benefits Act
OMB: 1240-0027
OMB.report
DOL/OWCP
OMB 1240-0027
ICR 202401-1240-010
SS 1240-0027 CM-912 2023_OCIO-Final
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0027 can be found here:
2024-03-13 - No material or nonsubstantive change to a currently approved collection
Document [file]
Download:
file
|
pdf
File Type
inode/x-empty
© 2024 OMB.report |
Privacy Policy