Pulmonary Function Testing Course Approval Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Annual Report	Form	Modified	Available
Course Sponsor Survey (Customer Satisfaction Survey)	Form	Modified	Available
Refresher Course Application	Form	Modified	Available
Initial Course Application	Form	Modified	Available
Renewal Application	Form	Modified	Available
Attachment B 60-day FRN 0920-0138.pdf	Supplementary Document	Uploaded 2017-10-13	Available
Attachment I IRB Determination.pdf	Supplementary Document	Uploaded 2017-10-13	Available
Attachment A Legislative Authority.docx	Supplementary Document	Uploaded 2017-10-13	Available
0920-0138 SSB-.vF_07272017_10132017.docx	Supporting Statement B	Uploaded 2017-10-13	Available
0920-0138 SSA.vF_07272017_10132017.docx	Supporting Statement A	Uploaded 2017-10-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6649	Annual Report	Form	Modified
210765	Course Sponsor Survey (Customer Satisfaction Survey)	Form	Modified
184872	Request for Course Change (Example)	Other-Example of an email request for course changes	Modified
184871	Refresher Course Application	Form	Modified
184870	Initial Course Application	Form	Modified
184869	Renewal Application	Form	Modified

ICR Details

OMB Control No: 0920-0138	ICR Reference No: 201709-0920-007
Status: Active	Previous ICR Reference No: 201403-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 21461
Title: Pulmonary Function Testing Course Approval Program
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/17/2017
	Date Received in OIRA: 10/16/2017
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2020	36 Months From Approved
Responses	107	0	0
Time Burden (Hours)	147	0	0
Cost Burden (Dollars)	3,232	0	0

---

Abstract: The National Institute for Occupational Safety and Health (NIOSH) has responsibility for approving courses for training technicians in pulmonary function testing. NIOSH is revising this data collection to include a one-time customer satisfaction survey to evaluate service to stakeholders, the effectiveness of program changes implemented since 2005, and the usefulness of potential program enhancements.

---

Authorizing Statute(s): US Code: 29 USC 1910.1043 Name of Law: Cotton Dust Standard
   PL: Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 12359	03/02/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 47737	10/13/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report	N/A	Annual Report
Renewal Application	n/a	Renewal Application
Initial Course Application	n/a	Approved Spirometry Testing Course Application
Refresher Course Application	n/a	Refresher Course Application
Request for Course Change (Example)
Course Sponsor Survey (Customer Satisfaction Survey)	N/A	Course Sponsor (Customer Satisfaction) Survey

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	107	0	0	107	0	0
Annual Time Burden (Hours)	147	0	0	147	0	0
Annual Cost Burden (Dollars)	3,232	0	0	3,232	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: There is a net reduction in the total number of responses and total burden hours. ICs that stayed the same: Initial Application, Renewal Application ICs with reductions: Annual Report, Refresher Course Application ICs with increases: Report for Course Changes, Course Sponsor Customer Satisfaction Survey

---

Annual Cost to Federal Government: $3,695

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 10/16/2017

---