Refresher Course Application

[NIOSH] Pulmonary Function Testing Course Approval Program

Documents and Forms

Document Name Document Type
Form 0920-0138 Refresher Course Application Form and Instruction
0920-0138 Attachment F Spirometry Refresher Course Application_202 Attachment F Spirometry Refresher Course Application_2024.docx Form and Instruction
0920-0138 Attachment F Spirometry Refresher Course Application_202 Attachment F Spirometry Refresher Course Application_2024.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Refresher Course Application	Agency IC Tracking Number:	0920-0138

Is this a Common Form? Yes		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-0138	Attachment F Spirometry Refresher Course Application_2024	Attachment F Spirometry Refresher Course Application_2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3	0	3
Annual IC Time Burden (Hours)	24	0	24
Annual IC Cost Burden (Dollars)	0	-552	552

Documents for IC

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.