Information Collection

Report of Ventilatory Study (CM-907), Roentgenographic Interpretation (CM-933), Roentgenographic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine....

IC 13763 under ICR 200201-1215-001 · 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), Roentgenographic Quality Rereading (CM-933b), Medical History and Examination for Coal Mine....

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-933B	No	No
Form	CM-2907	No	No
Form	CM-933	No	No
Form	CM-1159	No	No
Form	CM-907	No	No
Form	CM-988	No	No

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 26,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	26,000	-11,800	37,800
Annual IC Time Burden (Hours)	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0

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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.