OMB control number
Description of Coal Mine Work and Other Employment
OMB 1240-0035 ยท DOL/OWCP.
OMB 1240-0035
The Description of Coal Mine Work and Other Employment (Form CM-913) is used to compare non-coal mine work to coal mine work.
The latest form for Description of Coal Mine Work and Other Employment expires 2023-10-31 and is listed under ICR 202003-1240-001.
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CM-913 Description of Coal Mine Work and Other Employment | Form |
| SS 1240-0035 CM-913 2023_OCIO1-MM.docx | Supporting Statement A |
 DOL-OWCP-9.pdf | Supplementary Document |
| DOL-OWCP-2.pdf | Supplementary Document |
| 725.405b.pdf | Supplementary Document |
 20 CFR 718.204.doc | Supplementary Document |
 Description of Coal Mine Work and Other Employment |
Form |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 202304-1240-006 | Revision of a currently approved collection | 2023-09-13 | Approved without change | |
| 202003-1240-001 | Revision of a currently approved collection | 2020-06-09 | Approved without change | |
| 201703-1240-002 | Revision of a currently approved collection | 2017-05-31 | Approved without change | |
| 201312-1240-001 | Revision of a currently approved collection | 2014-03-28 | Approved without change | |
| 201010-1240-001 | Extension without change of a currently approved collection | 2011-02-28 | Approved without change | |
| 201003-1240-035 | Revision of a currently approved collection | 2010-03-12 | Approved without change |