Information Collection

Report of Ventilatory Study -- CM-907, Roentgenographic Interpretation -- CM-933 & CM-933b, Medical History & Examination for Coal Mine Workers' Compensation -- CM-988 & Report of....

IC 13762 under ICR 199903-1215-001 · OMB 1215-0090.

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Information Collection (IC) Details

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IC Title:	Report of Ventilatory Study -- CM-907, Roentgenographic Interpretation -- CM-933 & CM-933b, Medical History & Examination for Coal Mine Workers' Compensation -- CM-988 & Report of....	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-1159	No	No
Form	CM-933	No	No
Form	CM-933B	No	No
Form	CM-988	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 37,800	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	Previously Approved
Annual Number of Responses for this IC	37,800	37,800
Annual IC Time Burden (Hours)	9,338	9,338
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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