DOL OWCP Black Lung - Claimants with Pending Claim

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

OMB: 1225-0093

IC ID: 259961

Documents and Forms

Document Name Document Type
DOL OWCP Black Lung - Claimants with Pending Claim Form
OWCP Black Lung CX Survey - Claimants with a Pending Claim CX Survey-Claimants with a Pending Claim 5-1-2023.docx Form
Black Lung Survey- Pending Claim - Instructions Updated 5-1-2023 (002).docx Instruction
1225-0093 - A11 Section 280 Clearance - Black Lung-Pending Claims 5.1.docx 1225-0093 - OWCP Black Lung - Pending Claims IC Document