Chest Radiograph Classification (CDC/NIOSH Form 2.8)

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 6620

Information Collection (IC) Details

View Information Collection (IC)

Chest Radiograph Classification (CDC/NIOSH Form 2.8)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0020 Chest Radiograph Classification Form M 2.8 25MAR2019 CWHSP-Form 2.8 Chest Radiograph Classification.pdf NA Yes Yes Fillable Fileable
Form 2.8 Chest Radiograph Classification Attachment 11 03 11 2015.pdf Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0001 Certified Interpreting Physicians File  51 FR 42476

10 0
   
Private Sector Businesses or other for-profits
 
   70 %

  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 30,140 0 0 0 0 30,140
Annual IC Time Burden (Hours) 1,507 0 0 0 0 1,507
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sample Letter to Physician Attachment 13.docx 03/19/2015
Sample Letter to B Readers Attachment 14.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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