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Application for Benefits Under The Federal Mine Safety and Dependent's Claim
OMB 0960-0118
OMB.report
SSA
OMB 0960-0118
OMB 0960-0118
Latest Forms, Documents, and Supporting Material
Document
Name
Application for Benefits Under The Federal Mine Safety and and Dependent's Claim
Form
All Historical Document Collections
200109-0960-025
Approved without change
No material or nonsubstantive change to a currently approved collection
2001-09-25
200102-0960-009
Approved without change
Extension without change of a currently approved collection
2001-02-28
199801-0960-009
Approved without change
Extension without change of a currently approved collection
1998-01-30
199409-0960-003
Approved without change
Extension without change of a currently approved collection
1994-09-15
199107-0960-005
Approved without change
Extension without change of a currently approved collection
1991-07-31
198808-0960-001
Approved without change
Extension without change of a currently approved collection
1988-08-10
198508-0960-002
Approved without change
Extension without change of a currently approved collection
1985-08-09
198211-0960-008
Approved without change
Revision of a currently approved collection
1982-11-17
197903-0960-033
Approved with change
No material or nonsubstantive change to a currently approved collection
1979-03-29
197710-0960-003
Approved without change
Revision of a currently approved collection
1977-10-13
197708-0960-003
Approved without change
Extension without change of a currently approved collection
1977-08-30
197704-0960-006
Approved without change
Extension without change of a currently approved collection
1977-04-26
197612-0960-009
Approved with change
No material or nonsubstantive change to a currently approved collection
1976-12-20
197503-0960-003
Approved with change
No material or nonsubstantive change to a currently approved collection
1975-03-18
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