Information Collection Request

National Coal Workers' X-ray Surveillance Program (CWXSP) - Federal Mine Safety and Health Act 1977 (42CFR37)

ICR 200801-0920-006 · OMB 0920-0020 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CDC/NIOSH (M) 2.8 Roentgenographic Interpretation Form Modified Repair queued
Form CDC/NIOSH (M) 2.9 Interpretating Physician Certification Document Form and Instruction New Available
Form CDC/NIOSH (M) 2.9 Facility Certification Document Form and Instruction New Available
Form CDC/NIOSH (M) 2.9 Coal Mine Operator's Plan Form and Instruction New Available
Form CDC/NIOSH (M) 2.9 Miner Identification Document Form and Instruction New Available
Part B NIOSH CWXSP Renewal.doc Supporting Statement B Uploaded 2007-12-07 Available
ATTACHMENT 10 Stakeholders.doc Supplementary Document Uploaded 2007-12-07 Available
Attachment 9 60 day FRN published.pdf Supplementary Document Uploaded 2007-12-07 Available
Attachment 2.pdf Supplementary Document Uploaded 2007-12-07 Repair queued
Attachment 1.doc Supplementary Document Uploaded 2007-12-07 Available
LIST OF ATTACHMENTS.doc Supplementary Document Uploaded 2007-12-07 Available
Part A SS RENEWAL 2007 .doc Supporting Statement A Uploaded 2008-01-03 Available
IC Document Collections
IC IDCollectionTypeStatusForm
6620 Roentgenographic Interpretation Form Modified
183370 Interpretating Physician Certification Document Form and Instruction New
183369 Facility Certification Document Form and Instruction New
183368 Coal Mine Operator's Plan Form and Instruction New
183367 Miner Identification Document Form and Instruction New
ICR Details
0920-0020 200801-0920-006
Historical Active 200404-0920-006
HHS/CDC
National Coal Workers' X-ray Surveillance Program (CWXSP) - Federal Mine Safety and Health Act 1977 (42CFR37)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/25/2008
Retrieve Notice of Action (NOA) 01/11/2008
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved
15,525 0 0
2,330 0 0
0 0 0

The Federal Mine Health and Safety Act of 1977, PL 95-164, (which amended the Federal Coal Mine Health and Safety Act of 1969) (Attachment 1), is intended to protect the health and safety of underground coal miners. This Act provides the basis and mandate for all forms being utilized in conjunction with this data collection for the "National Coal Workers' X-Ray Surveillance Program (CWXSP)."

PL: Pub.L. 95 - 164 111 Name of Law: Federal Mine Safety & Health Act of 1977, Public Law 91-173, as amended by Public Law 95-164
  
None

Not associated with rulemaking

  72 FR 42414 08/02/2007
72 FR 70865 12/13/2007
No

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 15,525 0 0 15,525 0 0
Annual Time Burden (Hours) 2,330 0 0 2,330 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
We are requesting an increase of 1,083 burden hours for this approval period due to the increase in the number of participating miners. The form changes are explained below: Miner Identification Document. Form No. CDC/NIOSH (M) 2.9, Rev. 07/07 Two minor changes have been made to the document as part of this renewal process. First, we have added boxes to indicate exactly which medical screening the miner completed (analog x-ray, digital x-ray, and/or spirometry). This section will be completed by the coordinator during medical screening in the NIOSH Mobile Health Screening Unit. It will aid in the final processing of the medical tests and in determining what medical results the miner is to receive. The second change pertains to the back of the form where the example of USA Mine was given under the Mine Name column. Many miners were answering yes, indicating that the mine where they were employed was indeed a USA Mine. What we need in that column is the name of the mine or the name of the mining company. That has been changed for clarification purposes. Neither of these changes will result in an increase in burden time for completion of the form. Interpreting Physician Certification Document Form No. CDC/NIOSH (M) 2.12, Rev. 07/07 Records information on physician qualifications - (Attachment 7). Several changes have been made to this form. Fields at the bottom that are no longer needed have been removed. When selecting new B Readers for interpreting x-rays in the CWHSP, part of the criteria involves whether the B Reader holds an academic appointment. In the past, this has been ascertained via a telephone call. A section has now been added to the form for this inquiry.

$500,000
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
Maryam Daneshvar 4046394604

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/04/2008