Annual Report

[NIOSH] Pulmonary Function Testing Course Approval Program

Documents and Forms

Document Name Document Type
Form 0920-0138 Annual Report Form and Instruction
0920-0138 Attachment D Annual Report_2024 Attachment D Annual Report_2024.docx Form and Instruction
0920-0138 Attachment D Annual Report_2024 Attachment D Annual Report_2024.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Annual Report	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 D Annual Report_2024	Attachment D Annual Report_2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 34	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	34	0	34
Annual IC Time Burden (Hours)	17	1	16
Annual IC Cost Burden (Dollars)	0	-365	365

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.