OMB
.report
Search
1240-0038_Supporting Statement_DEIA 9.12.23_MN
1240-0038_Supporting Statement_DEIA 9.12.23_MN.docx
Miner's Claim for Benefits Under the Black Lung Benefits Act CM-911 and Employment History CM-911a
OMB: 1240-0038
OMB.report
DOL/OWCP
OMB 1240-0038
ICR 202401-1240-012
1240-0038_Supporting Statement_DEIA 9.12.23_MN
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0038 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