Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor

OMB 1215-0171

Latest Forms, Documents, and Supporting Material

Document Name
Form CM-972 Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor Form
1215-0171 Justification for 83-C (CM-972) (2007 Clearance).pdf Justification for No Material/Nonsubstantive Change
1215-0171 OMB-DOL QandA.doc Supplementary Document
SS 1215-0171 05-2007 Final (Revised).doc Supporting Statement A
DOL-ESA-6.pdf Supplementary Document
Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor Form