Information Collection

Coal Contractor Plan CDC/NIOSH 2.18

IC 212093 under ICR 202507-0920-012 · OMB 0920-0020.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CDC/NIOSH (M) 2.18 Coal Contractor Plan Coal Contractor Plan CDC/NIOSH 2.18	Form
Form 0920-24IK Contractor Plan Coal Contractor Plan CDC/NIOSH 2.18	Form
CDC/NIOSH (M) 2.18 Coal Contractor Plan Attachment 4 Coal Contractor Plan Form No. CDC NIOSH (M) 2.18.docx	Form
0920-24IK Contractor Plan Attachment 4_2.18_CoalContractorPlan.pdf	Form
Attachment 5 Sample Letters Coal Mine Operator or Contractor.docx Coal Mine Operator or Contractor -- Sample Letter	IC Document
2.18_Instructions_CDC_NIOSH_2.18_REV0120_ContractorPlan_Instructions_updated.docx Instructions for 2.18 Form	IC Document
Attachment 5_Sample letters to Coal ine Operators or Contractor.docx Sample Letter	IC Document

IC Title:

Agency IC Tracking Number:

0920-0020-24IK

Is this a Common Form? No

IC Status: Unchanged

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) 2.18 (E), rev 01/2015				Yes	No	Fillable Printable
Form	0920-24IK				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Mortality Studies in Coal Mining, Metal and Non-Metal Mining and General Industry â 09-20-0153

FR Citation: 51 FR 42478

Number of Respondents: 68

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	68	68
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Coal Mine Operator or Contractor -- Sample Letter		02/04/2022
Instructions for 2.18 Form		04/22/2021
Sample Letter		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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