OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Report of Changes That May Affect Your Black Lung Benefits

OMB 1215-0084 ยท DOL/ESA.

OMB 1215-0084

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CM-929 Report of Changes That May Affect Your Black Lung BenefitsForm
1215-0084 QandA June 2008.doc Supplementary Document
Supporting Statement 1215-0084 (CM-929 and 929P) 4-10-2008 HB.docSupporting Statement A
CM-929 4-2-2008.doc Supplementary Document
CM-929P 4-2-2008.doc Supplementary Document
OMB 83-1 1215-0084 November 2007.pdf Supplementary Document
30 USC Sec_ 936 (1993).htm Supplementary Document
DOL Privacy Act systems ESA-6.pdf Supplementary Document
Report of Changes That May Affect Your Black Lung Benefits Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200709-1215-002 Revision of a currently approved collection 2008-04-25 Approved without change
200504-1215-002 Extension without change of a currently approved collection 2005-04-28 Approved without change
200206-1215-003 Extension without change of a currently approved collection 2002-06-14 Approved without change
199906-1215-002 Extension without change of a currently approved collection 1999-06-07 Approved without change
199606-1215-005 Extension without change of a currently approved collection 1996-06-05 Approved without change
199506-1215-013 Extension without change of a currently approved collection 1995-06-21 Approved without change
199205-1215-003 Revision of a currently approved collection 1992-05-18 Approved without change
198904-1215-004 Revision of a currently approved collection 1989-04-26 Approved without change
198609-1215-002 Revision of a currently approved collection 1986-09-25 Approved without change
198505-1215-001 Revision of a currently approved collection 1985-05-14 Approved without change
198302-1215-001 Revision of a currently approved collection 1983-02-03 Approved without change
198107-1215-010 No material or nonsubstantive change to a currently approved collection 1981-07-17 Approved with change
198009-1215-009 Revision of a currently approved collection 1980-09-18 Approved without change
197709-1215-004 New collection (Request for a new OMB Control Number) 1977-09-14 Approved without change