OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Certification by School Official

OMB 1240-0031 ยท DOL/OWCP.

OMB 1240-0031

The Office of Workers Compensation Programs (OWCP) Form CM-981 is completed by a school official to verify whether a Black Lung beneficiary's dependent, aged 18 to 23, qualifies as a full-time student.

The latest form for Certification by School Official expires 2026-07-31 and is listed under ICR 202401-1240-004.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CM-981 Certification by School OfficialForm
Supporting Statement 1240-0031 2026 3 11.docxSupporting Statement A
30 USC 901-945.pdfSupplementary Document
System of Record Notice-DOL OWCP-2.pdfSupplementary Document
725.209 to 725.218.pdfSupplementary Document
Certification By School Official Form
Certification By School Official Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202601-1240-004 Extension without change of a currently approved collection 2026-03-11
202401-1240-004 No material or nonsubstantive change to a currently approved collection 2024-01-31 Approved without change
202304-1240-009 Extension without change of a currently approved collection 2023-05-23 Approved without change
202008-1240-044 No material or nonsubstantive change to a currently approved collection 2020-10-20 Approved without change
201909-1240-001 Reinstatement without change of a previously approved collection 2020-02-04 Approved with change
201601-1240-012 Revision of a currently approved collection 2016-07-14 Approved without change
201302-1240-002 Revision of a currently approved collection 2013-05-26 Approved without change
201005-1240-002 Extension without change of a currently approved collection 2010-05-28 Approved without change
201003-1240-031 Extension without change of a currently approved collection 2007-03-01 Approved without change