Spirometry Facility Employee - Notification form 2.16

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 212091

Information Collection (IC) Details

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Spirometry Facility Employee - Notification form 2.16
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2.16 Spriometry Notification Attachment 15.docx Yes No Fillable Printable

Health Illness Prevention

Mortality Studies in Coal Mining, Metal and Non-Metal Mining and General Industry – 09-20-0153  51 FR 42478

10,383 0
   
Individuals or Households
 
   50 %

  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 0 0 -10,383 0 0 10,383
Annual IC Time Burden (Hours) 0 0 -1,731 0 0 1,731
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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