Facility Certification Document (CDC/NIOSH (M) 2.11)

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 183369

Information Collection (IC) Details

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Facility Certification Document (CDC/NIOSH (M) 2.11)
 
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 CDC/NOISH (M) 2.11 Facility Certification Document Att 4_Form 2.11_Facility Certification Document.docx 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

40 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 40 0 -60 0 0 100
Annual IC Time Burden (Hours) 20 0 -30 0 0 50
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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