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Report of Changes That May Affect Your Black Lung Benefits
OMB 1215-0084
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DOL/ESA
OMB 1215-0084
OMB 1215-0084
Latest Forms, Documents, and Supporting Material
Document
Name
Form CM-929 Report of Changes That May Affect Your Black Lung Benefits
Form
1215-0084 QandA June 2008.doc
Supplementary Document
Supporting Statement 1215-0084 (CM-929 and 929P) 4-10-2008 HB.doc
Supporting 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All Historical Document Collections
200709-1215-002
Approved without change
Revision of a currently approved collection
2008-04-25
200504-1215-002
Approved without change
Extension without change of a currently approved collection
2005-04-28
200206-1215-003
Approved without change
Extension without change of a currently approved collection
2002-06-14
199906-1215-002
Approved without change
Extension without change of a currently approved collection
1999-06-07
199606-1215-005
Approved without change
Extension without change of a currently approved collection
1996-06-05
199506-1215-013
Approved without change
Extension without change of a currently approved collection
1995-06-21
199205-1215-003
Approved without change
Revision of a currently approved collection
1992-05-18
198904-1215-004
Approved without change
Revision of a currently approved collection
1989-04-26
198609-1215-002
Approved without change
Revision of a currently approved collection
1986-09-25
198505-1215-001
Approved without change
Revision of a currently approved collection
1985-05-14
198302-1215-001
Approved without change
Revision of a currently approved collection
1983-02-03
198107-1215-010
Approved with change
No material or nonsubstantive change to a currently approved collection
1981-07-17
198009-1215-009
Approved without change
Revision of a currently approved collection
1980-09-18
197709-1215-004
Approved without change
New collection (Request for a new OMB Control Number)
1977-09-14
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