Information Collection

National Occupational Health Survey Of Mining

IC 110782 under ICR 198801-0920-003 · OMB 0920-0143.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type

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IC Title:

NATIONAL OCCUPATIONAL HEALTH SURVEY OF MINING

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CDC 1.133A	No	No
Form	2.133B,	No	No
Form	2.133C	No	No
Form	2.133D	No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 84

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	84	-36	120
Annual IC Time Burden (Hours)	525	-225	750
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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