Information Collection

Report Of Ventilatory Study -- Cm-907, Roentgenographic Interpretation -- Cm-933 & Cm-933b, Medical History And Examination For Coal Mine Workers' Pneumoconiosis -- Cm-988

IC 122135 under ICR 199212-1215-002 · OMB 1215-0090.

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	REPORT OF VENTILATORY STUDY -- CM-907, ROENTGENOGRAPHIC INTERPRETATION -- CM-933 & CM-933B, MEDICAL HISTORY AND EXAMINATION FOR COAL MINE WORKERS' PNEUMOCONIOSIS -- CM-988	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: 28,000	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	28,000	-5,200	33,200
Annual IC Time Burden (Hours)	6,917	-1,266	8,183
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.