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Roentgenographic Interpretation
National Coal Workers' X-ray Surveillance Program (CWXSP) - Federal Mine Safety and Health Act 1977 (42CFR37)
OMB: 0920-0020
IC ID: 6620
OMB.report
HHS/CDC
OMB 0920-0020
ICR 201302-0920-006
IC 6620
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0020 can be found here:
2022-02-07 - Revision of a currently approved collection
2021-09-09 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Form Form No 2.8
Roentgenographic Interpretation
Form and Instruction
Form No 2.8 rointgenographic interpretation form
CWHSP-ReadingForm-2 8-new with defs.pdf
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Roentgenographic Interpretation
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
Obligation to Respond:
Mandatory
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
Form No 2.8
rointgenographic interpretation form
CWHSP-ReadingForm-2 8-new with defs.pdf
Yes
Yes
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Illness Prevention
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10,000
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 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
10,000
0
0
0
0
10,000
Annual IC Time Burden (Hours)
500
0
0
0
0
500
Annual IC Cost Burden (Dollars)
0
0
0
0
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.