Information Collection

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

IC 13764 under ICR 200203-1215-001 · OMB 1215-0090.

⚠️ Notice: This information collection may be referencing outdated material.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

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Information Collection (IC) Details

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IC Title:	Report of Ventilator Study (CM-907), Roentgenograhic 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:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	CM-933	No	No
Form	CM-907	No	No
Form	CM-988	No	No
Form	CM-1159	No	No
Form	CM-933B	No	No
Form	CM-2907	No	No

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 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	26,000	-1,481	-10,319	37,800
Annual IC Time Burden (Hours)	6,334	-377	-2,627	9,338
Annual IC Cost Burden (Dollars)	0	0	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.