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 122134 under ICR 198911-1215-001 · OMB 1215-0090.

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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:

table that charts list of 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	CM1159	No	No
Form	CM988	No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 33,200

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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	33,200	-5,300	38,500
Annual IC Time Burden (Hours)	8,183	-158	8,341
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.