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View ESA-OWCP-DCMWC's Form 1215-0056 Online 
| Agency: |
ESA-OWCP-DCMWC |
| Title: |
CM-913, Description Of Coal Mine Work and Other Employment |
| Form Description: |
CM-913, Description Of Coal Mine Work and Other Employment: The CM-913 form is completed by the applicant when the miner performed non-coal mine work in addition to his coal mine employment. The form is used to compare coal mine with non-coal mine work. |
| OMB Control Number: |
1215-0056 |
| OMB Expiration Date: |
Monday, February 28, 2011
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