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Report of Arterial Blood Gas Study

Form ID:

OWCP CM-1159

Control ID:

OMB No. 1240-0023

Expiration date:

Mon, 30 Nov 2026 - 23:59

Forms

OWCP CM-1159: Report of Arterial Blood Gas Study

This report is authorized by law (30 USC 901 et. seq). The results of this study will aid in determining the miner's eligibility for black lung benefits. This method of collecting information complies with the Freedom of Information Act, the Privacy Act of 1974, and OMB Circular No. 108.