OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor

OMB 1215-0171 ยท DOL/ESA.

OMB 1215-0171

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CM-972 Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of LaborForm
1215-0171 Justification for 83-C (CM-972) (2007 Clearance).pdf Justification for No Material/Nonsubstantive Change
1215-0171 OMB-DOL QandA.doc Supplementary Document
SS 1215-0171 05-2007 Final (Revised).docSupporting Statement A
DOL-ESA-6.pdf Supplementary Document
Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
200906-1215-003 No material or nonsubstantive change to a currently approved collection 2009-06-18 Approved without change
200705-1215-005 Extension without change of a currently approved collection 2007-09-13 Approved with change
200409-1215-001 Extension without change of a currently approved collection 2004-09-22 Approved without change
200109-1215-001 Extension without change of a currently approved collection 2001-09-21 Approved without change
199809-1215-002 Extension without change of a currently approved collection 1998-09-22 Approved without change
199506-1215-008 Extension without change of a currently approved collection 1995-06-21 Approved without change
199208-1215-005 Revision of a currently approved collection 1992-08-24 Approved without change
198908-1215-006 New collection (Request for a new OMB Control Number) 1989-08-11 Approved without change