Report - Pathologist

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 197448

Documents and Forms
Document Name
Document Type
Instruction
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Report - Pathologist
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment 28.docx No   Paper Only

Health Illness Prevention

09-20-0149 Mortality in Coal Miners  51 FR 42746

1 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 1 0 -4 0 0 5
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sample Autopsy Report Attachment 21.docx 03/19/2015
Autopsy Checklist Attachment 22.docx 03/19/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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