Information Collection Request

[NIOSH] Pulmonary Function Testing Course Approval Program

ICR 202401-0920-010 · OMB 0920-0138 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form 0920-0138 Annual Report Form and Instruction Modified Missing upstream
Form 0920-0138 Course Sponsor Survey (Customer Satisfaction) Form and Instruction Modified Repair queued
Form 0920-0138 Request for Course Change (Example) Form Modified Repair queued
Form 0920-0138 Refresher Course Application Form and Instruction Modified Repair queued
Form 0920-0138 Initial Course Application Form and Instruction Modified Repair queued
Form 0920-0138 Renewal Application Form and Instruction Modified Missing upstream
PIA document_NIOSH Pulmonary Function Testing Course Approval Program.pdf Supplementary Document Uploaded 2024-03-05 Missing upstream
Attachment G NIOSH-Example of e-mail request for course change_2024.docx Supplementary Document Uploaded 2024-01-23 Missing upstream
Attachment I IRB determination_2024.docx Supplementary Document Uploaded 2024-01-23 Repair queued
Attachment B_60 day FRN.pdf Supplementary Document Uploaded 2024-01-23 Repair queued
Attachment A Legislative Authority_2024.docx Supplementary Document Uploaded 2024-01-23 Repair queued
IRB Determination Form.pdf Supplementary Document Uploaded 2020-09-08 Repair queued
Attachment B2.docx Supplementary Document Uploaded 2020-09-08 Repair queued
Attachment B- 60day FRN.pdf Supplementary Document Uploaded 2020-09-08 Repair queued
Attachment A2.docx Supplementary Document Uploaded 2020-09-08 Repair queued
Attachment A Legislative Authority_2020.docx Supplementary Document Uploaded 2020-09-08 Repair queued
Supporting Statement 0920-0138 Part B_2024.docx Supporting Statement B Uploaded 2024-01-23 Repair queued
Supporting Statement 0920-0138 Part A_2024.docx Supporting Statement A Uploaded 2024-01-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6649 Annual Report Form and Instruction Modified
210765 Course Sponsor Survey (Customer Satisfaction) Form and Instruction Modified
184872 Request for Course Change (Example) Form Modified
184871 Refresher Course Application Form and Instruction Modified
184870 Initial Course Application Form and Instruction Modified
184869 Renewal Application Form and Instruction Modified

ICR Details

Record metadata
Received in OIRA
HHS/CDC
0920-0138
Extension without change of a currently approved collection
202009-0920-007
0920-0138
1969-12-31
1969-12-31