Report of Physical Examination

NOAA Diving Program

OMB:

IC ID: 262250

Information Collection (IC) Details

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Report of Physical Examination
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction NF 57-03-52 Report of Examination and Medical History - Diver NF 57-03-52 Report of Examination and Medical History - Diver.pdf Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

COMMERCE/NOAA-10 NOAA Diving Program File.  72 FR 45009

50 0
   
Individuals or Households
 
   99 %

  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 50 0 50 0 0 0
Annual IC Time Burden (Hours) 100 0 100 0 0 0
Annual IC Cost Burden (Dollars) 11,700 0 11,700 0 0 0

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