NON- SUBSTANTIVE CHANGE REQUEST FOR THE MINER’S CLAIM for BENEFITS UNDER THE BLACK LUNG BENEFITS ACT CM-911 AND EMPLOYMENT HISTORY CM-911a
OMB CONTROL NO. 1240-0038 (February 2024)
DCMWC is requesting a non-substantive change to the recently approved collection of information contained in “Miner’s Claim for Benefits Under the Black Lung Benefits Act CM-911 and Employment History CM-911a”. Our program considered the translation of these vital forms to Spanish, to strengthen customer service experience, following Executive Order 14058, Transforming Federal Customer Experience and Service Delivery to Rebuild Trust in Government.
DCMWC seeks to revise the recently approved CM-911 and CM-911a as follows:
The currently approved CM-911 and CM-911a were translated entirely to Spanish.
This change request does not affect the burden hours. The burden hours remain the same.
The revised forms are attached to this change request.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | SUPPORTING STATEMENT FOR THE |
| Author | OSHA_User |
| File Modified | 0000-00-00 |
| File Created | 2024-07-20 |