Document
Report of Changes That May Affect Your Black Lung Benefits
ICR 202101-1240-001 · OMB 1240-0028 · Object 107643700.
This document may belong to an older filing. More recent activity for OMB 1240-0028:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is in progress, but the document is still incomplete and remains in the worker queue. (priority 70 · next 2026-04-16 10:53:57)
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Report of Changes That May Affect Your Black Lung Benefits |
| Author | Debra Thurston |
| File Created | 2021-02-18 |
| Conversion State | partial |