OMB control number
Statement By Black Lung Beneficiary Regarding Reportable Events
OMB 0960-0368 · SSA.
OMB 0960-0368
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 STATEMENT BY BLACK LUNG BENEFICIARY REGARDING REPORTABLE EVENTS |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 198403-0960-001 | New collection (Request for a new OMB Control Number) | 1984-03-05 | Approved without change |