|
View ESA-OWCP-DCMWC's Form 1215-0090 Online 
| Agency: |
ESA-OWCP-DCMWC |
| Title: |
CM-2907, Report of Ventilatory Study |
| Form Description: |
CM-2907, Report of Ventilatory Study: After a coal miner applies for black lung benefits, a complete pulmonary evaluation is authorized in order to determine if the claimant is totally disabled by pneumoconiosis. The ventilatory exam (or pulmonary functions study) is one part of the evaluation. The CM-2907 is completed by the physician. |
| OMB Control Number: |
1215-0090 |
| OMB Expiration Date: |
Wednesday, August 31, 2011
|
| |
|
