OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Interpretating Physician Certification Document

IC 183370 under ICR 201306-0920-003 · OMB 0920-0020.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Interpretating Physician Certification Document
 
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
Form and Instruction CDC/NIOSH (M) 2.11 Facility Certification Document Form 211.pdf No No Paper Only
Form and Instruction CDC/NIOSH (M) 2.12 Facility Certification Document Form 212.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

300 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 300 0 0 0 0 300
Annual IC Time Burden (Hours) 50 0 0 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.