Radiographic Facility Certification (CDC/NIOSH (M) 2.11)

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 183369

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Radiographic Facility Certification (CDC/NIOSH (M) 2.11)
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2.11 Radiographic Facility Certification Attachment 6.docx Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0149-Morbidity Studies in Coal Mining, Metal and Non-Metal Mining and General Industry and 0920-0153- Mortality Studies in coal Mining, Metal and Non-Metal Mining and General Industry.  51 FR 42476

40 0
   
Private Sector Businesses or other for-profits
 
   90 %

  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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 20 0 0 0 0 20
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Sample Letter to Radiographic Facility Attachment 7 03 11 2015.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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