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 · DOL/ESA.

OMB 1215-0171

Latest Forms, Documents, and Supporting Material

Document Name
Form CM-972 Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor Form
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).doc Supporting 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All Historical Document Collections

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