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Notice of Issuance of Insurance Policy
OMB 1215-0059
OMB.report
DOL/ESA
OMB 1215-0059
OMB 1215-0059
Latest Forms, Documents, and Supporting Material
Document
Name
Form CM-921 Notice of Issuance of Insurance Policy
Form and Instruction
30 USC 933.pdf
Supplementary Document
DOL-ESA 6.doc
Supplementary Document
20 CFR Part V Subpart C 726.208-213.doc
Supplementary Document
ss 1215-0059 1-10-2007.doc
Supporting Statement A
Notice of Issuance of Insurance Policy
Form and Instruction
All Historical Document Collections
200610-1215-001
Approved without change
Extension without change of a currently approved collection
2007-01-19
200312-1215-003
Approved without change
Extension without change of a currently approved collection
2003-12-17
200102-1215-001
Approved without change
Extension without change of a currently approved collection
2001-02-05
199801-1215-002
Approved without change
Extension without change of a currently approved collection
1998-01-14
199410-1215-003
Approved without change
Revision of a currently approved collection
1994-10-17
199111-1215-004
Approved without change
Revision of a currently approved collection
1991-11-15
198908-1215-008
Approved with change
No material or nonsubstantive change to a currently approved collection
1989-08-03
198904-1215-002
Approved without change
Extension without change of a currently approved collection
1989-04-06
198605-1215-001
Approved without change
Revision of a currently approved collection
1986-05-02
198305-1215-004
Approved without change
Revision of a currently approved collection
1983-05-26
198206-1215-010
Approved with change
No material or nonsubstantive change to a currently approved collection
1982-06-30
197808-1215-005
Approved without change
Revision of a currently approved collection
1978-08-17
197806-1215-006
Approved without change
Extension without change of a currently approved collection
1978-06-29
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