Renewal Application

Pulmonary Function Testing Course Approval Program, 29 CFR 1910.1043

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0138 can be found here:

Documents and Forms

Document Name Document Type
Form 2 Renewal Application Form and Instruction
2 NIOSH -Approved Spirometry Course Sponsorship Renewal Ap Attachment E NIOSH-Approved Spirometry Course Sponsorship Renewal Application a.doc Form and Instruction

Information Collection (IC) Details

IC Title:	Renewal Application	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	2	NIOSH -Approved Spirometry Course Sponsorship Renewal Application	Attachment E NIOSH-Approved Spirometry Course Sponsorship Renewal Application a.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 13	Number of Respondents for Small Entity: 5

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	13	13
Annual IC Time Burden (Hours)	78	78
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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