Information Collection

Authorization for Payment of Autopsy

IC 247601 under ICR 202105-0920-011 · OMB 0920-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0020 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 2.19 Authorization for Payment of Autopsy	Form
2.19 Authorization for Payment of Autopsy Attachment 22 Auth for Pay of Autopsy Form 2.19.pdf	Form
2.19 Authorization for Payment of Autopsy Attachment 22 Auth for Pay of Autopsy Form 2.19.pdf	Form

IC Title:

Authorization for Payment of Autopsy

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
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

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: Morbidity Studies in Coal Mining, Metal and Non-metal Mining and General Industry

FR Citation: 51 FR 42476

Number of Respondents: 4

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 95 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	4	4
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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