Information Collection

2019 Updated B Reader Certification Examination

IC 237867 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Attachment 4-- Example Mulitple Choice Questions.docx Other-WORD
Attachment 1--Screen shots of the BViewer© computer software used for testing.docx Other-Screenshots
Attachment 2--2.8 Chest Radiograph Classification Form.pdf Att 2 2.8 CHEST RADIOGRAPH CLASSIFICATION IC Document
Attachment 3--2019 B Reader Exam Invite (email or phone script).docx ATT 3_Email Invite IC Document
Attachment 5--2.12 CWHSP-PhysicianCert-2.12-508.pdf Att 5_PHYSICIAN APPLICATION FOR CERTIFICATION IC Document
GenICRequestTemplate_B Reader Pilot.docx Request for Approval IC Document
SSA_Formative Research and Tool Development Generic_9.18.19.doc SupSta A IC Document
SSB_2019 B 9.18.19.docx SupSta B IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	2019 Updated B Reader Certification Examination	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 20 CFR 718 Standards for Determining 42 CFR 37 Specifications for medical

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Screenshots			Attachment 1--Screen shots of the BViewerÂ© computer software used for testing.docx		Yes	No	Fillable Fileable
Other-WORD			Attachment 4-- Example Mulitple Choice Questions.docx		No		Paper Only

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title: CDC/ATSDR Privacy Act System of Records Notice 0920-0149, Morbidity Studies in Coal Mining, Metal and Non-Metal Mining and General Industry	FR Citation: 51 FR 42476

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Att 2 2.8 CHEST RADIOGRAPH CLASSIFICATION	Attachment 2--2.8 Chest Radiograph Classification Form.pdf	09/25/2019
ATT 3_Email Invite	Attachment 3--2019 B Reader Exam Invite (email or phone script).docx	09/25/2019
Att 5_PHYSICIAN APPLICATION FOR CERTIFICATION	Attachment 5--2.12 CWHSP-PhysicianCert-2.12-508.pdf	09/25/2019
Request for Approval	GenICRequestTemplate_B Reader Pilot.docx	09/25/2019
SupSta A	SSA_Formative Research and Tool Development Generic_9.18.19.doc	09/25/2019
SupSta B	SSB_2019 B 9.18.19.docx	09/25/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.