Report of changes that may affect your Black Lung Benefits
Justification CM-929 929P_final.docx
Report of Changes That May Affect Your Black Lung Benefits
Report of changes that may affect your Black Lung Benefits
OMB: 1240-0028
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0028 can be found here:
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pdfFile Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | SUPPORTING STATEMENT FOR THE |
Author | OSHA_User |
File Modified | 0000-00-00 |
File Created | 2024-07-20 |