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Federal forms, ICRs, and supporting documents

Information Collection

Coal Mine Operator's Plan (CDC/NOISH (M) 2.10)

IC 183368 under ICR 202507-0920-012 · OMB 0920-0020.

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Coal Mine Operator's Plan (CDC/NOISH (M) 2.10) 0920-0020-24IK
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CDC/NIOSH (M) 2.10 (E). rev 01/2015 Coal Mine Operator's Plan Attachment 3 Coal Mine Operator Form No. CDC NIOSH (M) 2.10.docx Yes No Fillable Printable
Form 0920-0020-24IK Operators Plan Attachment 3_2.10_CoalMineOperatorsPlan.pdf Yes Yes Fillable Fileable

Health Illness Prevention

09-20-0149-Morbidity Studies in Coal Mining, Metal and Non-Metal Mining and General Industry and 0920-0153- Mortality Studies in coal Mining, Metal and Non-Metal Mining and General Industry.  51 FR 42476

268 0
   
Private Sector Businesses or other for-profits
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 268 0 0 0 0 268
Annual IC Time Burden (Hours) 134 0 0 0 0 134
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Instructions for Form 2.10 2.10_Instructions_CDC_NIOSH_2.10_REV0120_MinePlan_Instructions_updated.docx 04/22/2021
Sample Letter to the Coal Mine Operator/Contractor Att 5 Sample Letters Coal Mine Operator or Contractor.docx 01/13/2022
Att 9 Sample Letters to Miners Att 9_Sample Letter to Miners Informing Oppur to Participate.docx 01/25/2022
Roster Letter to Miners Attachment 9_P01 Roster Letter to Miners.docx 04/02/2025
Sample letters to Coal ine Operators or Contractor Attachment 5_Sample letters to Coal ine Operators or Contractor.docx 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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