OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Claim adjudication process for alleged presence of pneumoconiosis

OMB 1215-0090 ยท DOL/ESA.

OMB 1215-0090

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CM-988 Roentgenographic Interpretation (CM-933), Roentgenographic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine Workers' Pneumoconiosis (CM-988), Report of....Form
1215-0090 Supporting Statement.docSupporting Statement A
DOL Privacy Act systems ESA-30.pdf Supplementary Document
DOL Privacy Act systems ESA-6.pdf Supplementary Document
cm-988.pdf Supplementary Document
CM-1159 May 2008 with 50.doc Supplementary Document
cm-2907.pdf Supplementary Document
CM-933 Rev June 2008.pdf Supplementary Document
CM-933b 02-2008.pdf Supplementary Document
Roentgenographic Interpretation (CM-933), Roentgenographic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine Workers' Pneumoconiosis (CM-988), Report of.... Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200802-1215-002 Extension without change of a currently approved collection 2008-04-25 Approved with change
200502-1215-003 Revision of a currently approved collection 2005-02-04 Approved without change
200203-1215-001 Revision of a currently approved collection 2002-03-29 Approved without change
200201-1215-001 Revision of a currently approved collection 2002-01-24 Withdrawn and continue
199903-1215-001 Extension without change of a currently approved collection 1999-03-19 Approved without change
199601-1215-001 Extension without change of a currently approved collection 1996-01-26 Approved without change
199212-1215-002 Revision of a currently approved collection 1992-12-03 Approved without change
198911-1215-001 Revision of a currently approved collection 1989-11-13 Approved without change
198702-1215-006 Revision of a currently approved collection 1987-02-25 Approved without change
198605-1215-007 Revision of a currently approved collection 1986-05-29 Approved without change
198305-1215-002 Revision of a currently approved collection 1983-05-03 Approved without change
198106-1215-001 Revision of a currently approved collection 1981-06-20 Approved without change
198005-1215-004 New collection (Request for a new OMB Control Number) 1980-05-12 Approved without change