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View ESA-OWCP-DCMWC's Form 1215-0058 Online 
| Agency: |
ESA-OWCP-DCMWC |
| Title: |
CM-2970a, Operator Response to Notice of Claim |
| Form Description: |
CM-2970a, Operator Response to Notice of Claim: The CM-2970a is sent with the Notice of Claim when a coal mine operator is identified as potentially liable for payment of benefits. This form gives the operator an opportunity to accept or contest statements about its liability. |
| OMB Control Number: |
1215-0058 |
| OMB Expiration Date: |
Friday, December 31, 2010
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