Miner Identification Document (CDC/NIOSH 2.9)

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 183367

Documents and Forms

Document Name Document Type
Form CDC/NIOSH 2.9(E), Miner Identification Document (CDC/NIOSH 2.9) Form
CDC/NIOSH 2.9(E), Revised 02/2019 Miner Identification Document Attachment 8 Miner Identification Doc Form No. CDC NIOSH (M) 2.9.docx Form
0920-0020-24IK Miner Identification Attachment 8_2.09_Miner-Identification-Form_REVISED 112024.pdf Form