Information Collection

Chest Radiograph Classification - B Reader Physician

IC 6620 under ICR 202501-0920-010 · OMB 0920-0020.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0020 can be found here:

2025-07-17 - No material or nonsubstantive change to a currently approved collection

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC/NIOSH (M) 2.8 Chest Radiograph Classification - B Reader Physician	Form
Form CDC/NIOSH (M) 2.8 Chest Radiograph Classification Chest Radiograph Classification - B Reader Physician	Form
Form 0920-0020-24IK Chest Radiography Chest Radiograph Classification - B Reader Physician	Form
CDC/NIOSH (M) 2.8 Chest Radiograph Classification Attachment 11 Chest Rad Classification Form Form No. CDC NIOSH (M) 2.8.docx	Form
CDC/NIOSH (M) 2.8 Chest Radiograph Classification Attachment 11 Chest Rad Classification Form Form No. CDC NIOSH (M) 2.8.docx	Form
0920-0020-24IK Chest Radiography Attachment 11_2.08_ChestRadiographClassificationForm.pdf	Form
0920-0020-24IK Chest Radiography Attachment 11_2.08_ChestRadiographClassificationForm.pdf	Form
Attachment 13 Sample Letters to Physicians rept outcomes of B Reader Exam.docx Sample Letter to Physician Reporting Outcome of the B Reader Examination	IC Document
Attachment 13 Sample Letters to Physicians rept outcomes of B Reader Exam.docx Sample Letter to Physician Reporting Outcome of the B Reader Examination	IC Document
Attachment 14 Sample Letter B Readers (Recertification Examination)).docx Sample Letter to B Readers inform of the Recertification Examination	IC Document
Attachment 14 Sample Letter B Readers (Recertification Examination)).docx Sample Letter to B Readers inform of the Recertification Examination	IC Document
Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations.pdf Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations	IC Document
Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations.pdf Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations	IC Document
Attachment 14_Sample Letter to B Readers to Inform Recertification Exam is Due.pdf Attachment 14_Sample Letter to B Readers to Inform Recertification Exam is Due	IC Document
Attachment 14_Sample Letter to B Readers to Inform Recertification Exam is Due.pdf Attachment 14_Sample Letter to B Readers to Inform Recertification Exam is Due	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Chest Radiograph Classification - B Reader Physician

Agency IC Tracking Number:

0920-0020-24IK

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CDC/NIOSH (M) 2.8 REV 01/2020				Yes	Yes	Fillable Fileable
Form	0920-0020-24IK				Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: 09-20-0001 Certified Interpreting Physicians File

FR Citation: 51 FR 42476

Number of Respondents: 10

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 70 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	8,990	-8,610	17,600
Annual IC Time Burden (Hours)	450	-430	880
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Sample Letter to Physician Reporting Outcome of the B Reader Examination		02/04/2022
Sample Letter to B Readers inform of the Recertification Examination		02/04/2022
Attachment 13_Sample Letters to Physicians reporting outcomes of B Reader Examinations		04/02/2025
Attachment 14_Sample Letter to B Readers to Inform Recertification Exam is Due		04/02/2025

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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