Claim Adjudication Process for the Alleged Presence of Pneumoconiosis

OMB 1240-0023

OMB 1240-0023

Request for 20 CFR 718 specifies that certain information relative to the medical condition of a claimant who is alleging the presence of pneumoconiosis be obtained as a routine function of the claim adjudication process. The medical specifications in the regulations have been formatted in a variety of forms to promote efficiency and accuracy in gathering the required data. These forms were designed to meet the need to gather medical evidence.

The latest form for Claim Adjudication Process for the Alleged Presence of Pneumoconiosis expires 2023-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material
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Justification for No Material/Nonsubstantive Change
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