National Coal Workers' Autopsy Study (42 cfr 37.204)

ICR 200912-0920-005

OMB: 0920-0021

Federal Form Document

Forms and Documents
Document
Name
Status
Supplementary Document
2009-12-10
Supplementary Document
2009-12-10
Supporting Statement A
2009-12-10
IC Document Collections
ICR Details
0920-0021 200912-0920-005
Historical Active 200611-0920-003
HHS/CDC
National Coal Workers' Autopsy Study (42 cfr 37.204)
Extension without change of a currently approved collection   No
Regular
Approved without change 01/14/2010
Retrieve Notice of Action (NOA) 12/27/2009
  Inventory as of this Action Requested Previously Approved
01/31/2013 36 Months From Approved 01/31/2010
150 0 150
21 0 21
0 0 0

The Federal Coal Mine Health and Safety Act of 1977, PL91-173, (amended the Federal Coal Mine and Safety Act of 1969) provides in Title II, Section 203(d) that "If the death of any active miner occurs in any coal mine, or if the death of any active or inactive miner occurs in any other place, the Secretary of Health and Human Services is authorized to provide for any autopsy to be performed on such miner, with the consent of his surviving widow or, if he has no such widow, then with the consent of his surviving next of kin. The results of such autopsy shall be submitted to the Secretary of Health and Human Services and, with the consent of such survivor, to the miner's physician or other interested person. Such autopsy shall be paid for by the Secretary of Health and Human Services." The regulations concerning the authority for the program were published in Title 42 CFR, Chapter 1, Subchapter C, Part 37. Through delegation of authority, the National Institute for Occupational Safety and Health (NIOSH) is authorized to make the necessary arrangements for providing this service to the next-of-kin of the deceased miner through the National Coal Workers' Autopsy Study (NCWAS) which is a component of the Coal Workers' Health Surveillance Program (CWHSP). The Consent, Release and History form (CDC/NIOSH 2.6) is used to obtain written authorization from the next of kin to perform an autopsy on the deceased miner. The NCWAS post-mortem examinations are used for research purposes (both epidemiological and clinical). A minimum of essential information regarding the deceased miner, his occupational history, and his smoking history is collected. The latter is included because of the strong association between chronic lung diseases and smoking. Medical evidence obtained from the autopsy may also be used by the next-of-kin in support of Black Lung Benefits claims.

US Code: 42 USC 37 Name of Law: Specifications for Medical Examinations of Underground Coal Miners
  
None

Not associated with rulemaking

  74 FR 51609 10/07/2009
74 FR 235 12/09/2009
No

3
IC Title Form No. Form Name
NCWAS (Invoice)
NCWAS (Consent, Release and History Form)
NCWAS (Checklist)

  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 150 150 0 0 0 0
Annual Time Burden (Hours) 21 21 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$12,158
No
No
Uncollected
Uncollected
No
Uncollected
Thelma Sims 4046394771

  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.
12/27/2009


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