OMB control number
Certification by School Official
OMB 1240-0031 · 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 2026-06-30 and can be found here.
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Certification By School Official All Historical Document Collections
| Extension without change of a currently approved collection | 2026-03-11 | ||
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2024-01-31 | |
|
Approved without change |
Extension without change of a currently approved collection | 2023-05-23 | |
|
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2020-10-20 | |
|
Approved with change |
Reinstatement without change of a previously approved collection | 2020-02-04 | |
|
Approved without change |
Revision of a currently approved collection | 2016-07-14 | |
|
Approved without change |
Revision of a currently approved collection | 2013-05-26 | |
|
Approved without change |
Extension without change of a currently approved collection | 2010-05-28 | |
|
Approved without change |
Extension without change of a currently approved collection | 2007-03-01 |