20 Cfr 725.304
20CFR725.304 - Forms and initial processing.pdf
Miner's Claim for Benefits Under the Black Lung Benefits Act CM-911 and Employment History CM-911a
20 CFR 725.304
OMB: 1240-0038
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0038 can be found here: