Annual report

Pulmonary Function Testing Course Approval Program

Attachment D Annual Report

OMB: 0920-0138

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ATTACHMENT D



NIOSH Spirometry Training Program Annual Report















































Form Approved

OMB NO. 0920-0138

Expiration Date: 11/30/20xx


NIOSH Spirometry Training Program Annual Report


Please submit this form to [email protected].


RE: NIOSH-APPROVED COURSE NO. __________


1. Conducting Courses Yes No


2. Initial Course

Course Location (state/country) Course Dates No. Students Trained



3. Refresher Course

Course Location (state/country) Course Dates No. Students Trained



4. Are any of the listed faculty members no longer teaching in your course? Faculty (lecturers and practicum instructors) must be approved by NIOSH. Please send NIOSH a request for approval and a current CV for prospective faculty members.


Faculty Member Name No Longer Teaching


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitlePULMONARY FUNCTION TESTING COURSE APPROVAL PROGRAM
AuthorLu-Ann Beeckman-Wagner
File Modified0000-00-00
File Created2022-08-21

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