Spirometry Results Notification CDC/NIOSH 2.15

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 212090

Information Collection (IC) Details

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Spirometry Results Notification CDC/NIOSH 2.15 16ABJ
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2.15 Spirometry Results Notification form edit Attachment 17 Spiro Results Notification Form 2.15 tim0.docx NA Yes Yes Fillable Fileable

Health Illness Prevention

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

14,560 0
   
Private Sector Businesses or other for-profits
 
   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 14,560 0 0 0 0 14,560
Annual IC Time Burden (Hours) 4,854 0 1 0 0 4,853
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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