[NIOSH] Pulmonary Function Testing Course Approval Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-0138 Attachment D Annual Report_2024	Form and Instruction	Modified	Available
Form 0920-0138 Annual Report	Form and Instruction	Modified	Repair queued
Form 0920-0138 Attachment H One-time Sponsor Survey_2024	Form and Instruction	Modified	Available
Form 0920-0138 Course Sponsor Survey (Customer Satisfaction)	Form and Instruction	Modified	Repair queued
Form 0920-0138 Attachment G NIOSH-Example of e-mail request for course change_2024	Form	Modified	Available
Form 0920-0138 Request for Course Change (Example)	Form	Modified	Repair queued
Form 0920-0138 Attachment F Spirometry Refresher Course Application_2024	Form and Instruction	Modified	Available
Form 0920-0138 Refresher Course Application	Form and Instruction	Modified	Repair queued
Form 0920-0138 Attachment C Sponsorship Initial Application_2024	Form and Instruction	Modified	Available
Form 0920-0138 Initial Course Application	Form and Instruction	Modified	Repair queued
Form 0920-0138 Attachment E Sponsorship Renewal Application_2024	Form and Instruction	Modified	Available
Form 0920-0138 Renewal Application	Form and Instruction	Modified	Repair queued
PIA document_NIOSH Pulmonary Function Testing Course Approval Program.pdf	Supplementary Document	Uploaded 2024-03-05	Repair queued
Attachment G NIOSH-Example of e-mail request for course change_2024.docx	Supplementary Document	Uploaded 2024-01-23	Repair queued
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 ID	Collection	Type	Status	Form
6649	Annual Report	Form and Instruction	Modified	Attachment D Annual Report_2024
6649	Annual Report	Form and Instruction	Modified
210765	Course Sponsor Survey (Customer Satisfaction)	Form and Instruction	Modified	Attachment H One-time Sponsor Survey_2024
210765	Course Sponsor Survey (Customer Satisfaction)	Form and Instruction	Modified
184872	Request for Course Change (Example)	Form	Modified	Attachment G NIOSH-Example of e-mail request for course change_2024
184872	Request for Course Change (Example)	Form	Modified
184871	Refresher Course Application	Form and Instruction	Modified	Attachment F Spirometry Refresher Course Application_2024
184871	Refresher Course Application	Form and Instruction	Modified
184870	Initial Course Application	Form and Instruction	Modified	Attachment C Sponsorship Initial Application_2024
184870	Initial Course Application	Form and Instruction	Modified
184869	Renewal Application	Form and Instruction	Modified	Attachment E Sponsorship Renewal Application_2024
184869	Renewal Application	Form and Instruction	Modified

ICR Details

OMB Control No: 0920-0138	ICR Reference No: 202401-0920-010
Status: Active	Previous ICR Reference No: 202009-0920-007
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0138
Title: [NIOSH] Pulmonary Function Testing Course Approval Program
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 04/16/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/06/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	111	0	109
Time Burden (Hours)	178	0	147
Cost Burden (Dollars)	0	0	3,376

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Abstract: The National Institute for Occupational Safety and Health (NIOSH) has responsibility for approving courses for training technicians in pulmonary function testing. The primary goal of this data collection is to adhere to the NIOSH duties outlined in the OSHA Cotton Dust Standard [29 CFR 1910.1043]. NIOSH is mandated to provide educational materials, oversight, and approval to course sponsors who provide spirometry training to individuals who perform spirometry testing on our nation's workers exposed to cotton, coal mine, and respirable crystalline silica dusts.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health Act of 1970
   US Code: 29 USC 1910.1043 Name of Law: Cotton Dust Standard
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 74194	10/30/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 12348	02/16/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Annual Report	0920-0138	Attachment D Annual Report_2024
Course Sponsor Survey (Customer Satisfaction)	0920-0138	Attachment H One-time Sponsor Survey_2024
Initial Course Application	0920-0138	Attachment C Sponsorship Initial Application_2024
Refresher Course Application	0920-0138	Attachment F Spirometry Refresher Course Application_2024
Renewal Application	0920-0138	Attachment E Sponsorship Renewal Application_2024
Request for Course Change (Example)	0920-0138	Attachment G NIOSH-Example of e-mail request for course change_2024

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	111	109	0	2	0	0
Annual Time Burden (Hours)	178	147	0	31	0	0
Annual Cost Burden (Dollars)	0	3,376	0	-3,376	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This package extension contains no changes to instruments (2021) and requests an approval for an extension for 3 years and 178 hours per year.

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Annual Cost to Federal Government: $10,385

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  An extension to 0920-0138 will allow the on-going NIOSH Pulmonary Function Testing Course Approval Program to continue to receive information from our NIOSH-approved course sponsors.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 03/06/2024

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