Chest Radiograph Classification (CDC/NIOSH Form 2.8)

National Coal Workers' Health Surveillance Program (CWHSP)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0020 can be found here:

Documents and Forms

Document Name Document Type
Form CDC/NOISH (M) 2.8 Chest Radiograph Classification (CDC/NIOSH Form 2.8) Form
CDC/NOISH (M) 2.8 Chest Radiograph Classification Att 6_Form 2.8_Chest Radiograph Classification.docx Form

Information Collection (IC) Details

IC Title:	Chest Radiograph Classification (CDC/NIOSH Form 2.8)	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	CDC/NOISH (M) 2.8	Chest Radiograph Classification	Att 6_Form 2.8_Chest Radiograph Classification.docx		No	No	Printable Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title: 09-20-0153 Mortality Studies in Coal Mining	FR Citation: 51 FR 42478

Number of Respondents: 200	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	20,800	10,800	10,000
Annual IC Time Burden (Hours)	1,040	540	500
Annual IC Cost Burden (Dollars)	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.