Coal Mine Operator's Plan

Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 183368

Documents and Forms
Information Collection (IC) Details

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Coal Mine Operator's Plan
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CDC/NIOSH (M) 2.9 Miner Identification Document Form 2.9.pdf No No Paper Only
Form and Instruction CDC/NIOSH (M) 2.10 Coal Mine Operator's Plan Form 210.pdf No No Paper Only

Health Illness Prevention

0920-0149-Mortality Studies in Coal Mining, Metal and Non-Metal Mining and General Industry and 0920-0153- Mortality Studies in coal Mining, Metal and Non-Metal Mining and General Industry.  72 FR 42414

200 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 200 0 0 0 0 200
Annual IC Time Burden (Hours) 100 0 0 0 0 100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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