OMB control number
Statement By Black Lung Beneficiary Regarding Reportable Events
OMB 0960-0368 · SSA.
OMB 0960-0368
Latest Forms, Documents, and Supporting Material
STATEMENT BY BLACK LUNG BENEFICIARY REGARDING REPORTABLE EVENTS All Historical Document Collections
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Approved without change |
New collection (Request for a new OMB Control Number) | 1984-03-05 |