Authorization for Payment of Autopsy

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 247601

Information Collection (IC) Details

View Information Collection (IC)

Authorization for Payment of Autopsy
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2.19 Authorization for Payment of Autopsy Attachment 22 Auth for Pay of Autopsy Form 2.19.pdf Yes Yes Fillable Fileable

Workforce Management Worker Safety

Morbidity Studies in Coal Mining, Metal and Non-metal Mining and General Industry  51 FR 42476

4 0
   
Individuals or Households
 
   95 %

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

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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