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Form CDC 2.11 (E), rev CDC 2.11 (E), rev Radiographic Facility Certification
National Coal Workers' Health Surveillance Program (CWHSP)
Attachment 6 Radiograph Facility Cert Doc Form No. CDC NIOSH (M) 2.11
Radiographic Facility Certification (CDC/NIOSH (M) 2.11)
OMB: 0920-0020
OMB.report
HHS/CDC
OMB 0920-0020
ICR 202111-0920-021
IC 183369
Form CDC 2.11 (E), rev CDC 2.11 (E), rev Radiographic Facility Certification
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0020 can be found here:
2025-07-17 - No material or nonsubstantive change to a currently approved collection
2025-05-02 - Reinstatement with change of a previously approved collection
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