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Supporting Statement - 1240-0034 OCIO -MM Comments 1.7.22 OCIO Response
Supporting Statement - 1240-0034 OCIO -MM Comments 1.7.22 OCIO Response.docx
Authorization for Release of Medical Information for Black Lung Benefits
OMB: 1240-0034
OMB.report
DOL/OWCP
OMB 1240-0034
ICR 202401-1240-009
Supporting Statement - 1240-0034 OCIO -MM Comments 1.7.22 OCIO Response
( Supporting Statement A )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0034 can be found here:
2024-12-12 - Revision of a currently approved collection
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