Information Collection

Report Of Vetilatory Study - Cm-907, Roentgenographic Interpretation - Cm-933 & Cm-933b, Medical History & Exam. For Coal Mine Workers' Pneumoconiosis - Cm-988, Etc.

IC 122132 under ICR 198605-1215-007 · OMB 1215-0090.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1215-0090 can be found here:

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Information Collection (IC) Details

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IC Title:	REPORT OF VETILATORY STUDY - CM-907, ROENTGENOGRAPHIC INTERPRETATION - CM-933 & CM-933B, MEDICAL HISTORY & EXAM. FOR COAL MINE WORKERS' PNEUMOCONIOSIS - CM-988, ETC.	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CM-907	No	No
Form	CM-933	No	No
Form	CM-933B	No	No
Form	CM988	No	No
Form	CM1159	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 38,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	38,500	-16,500	55,000
Annual IC Time Burden (Hours)	7,700	-3,301	11,001
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.