National Coal Workers' Health Surveillance Program (CWHSP)

OMB 0920-0020

OMB 0920-0020

The Coal Workers' Health Surveillance Program (CWHSP) is a congressionally-mandated medical examination program for monitoring the health of underground coal miners, established under the Federal Coal Mine Health and Safety Act of 1969. Through delegation of authority, the Act directs NIOSH to study the causes and consequences of coal-related respiratory disease, and in cooperation with the Mine Safety and Health Administration, to carry out a program for early detection and prevention of coal workers' pneumoconiosis and to provide the opportunity for an autopsy after the death of a coal miner. An extension is being requested with only a few minor changes (costs). This Non-Substantive Change Request is submitted to make minor changes to the following forms/procedures: Chest Radiograph Classification Form Miner Identification Document Physician Application for Certification Recertification period for B Readers Changes result in an overall decrease in four Burden Hours.

The latest form for National Coal Workers' Health Surveillance Program (CWHSP) expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material
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All Historical Document Collections
Extension without change of a currently approved collection 2021-09-09
Improperly submitted and continue
Revision of a currently approved collection 2021-05-25
Approved without change
No material or nonsubstantive change to a currently approved collection 2021-04-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-04-17
Approved without change
Extension without change of a currently approved collection 2018-06-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-04-13
Approved without change
Reinstatement without change of a previously approved collection 2015-03-23
Approved with change
Revision of a currently approved collection 2014-07-09
Approved without change
Revision of a currently approved collection 2014-03-20
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-06-10
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-02-08
Approved without change
Revision of a currently approved collection 2011-04-26
Approved without change
Reinstatement with change of a previously approved collection 2008-01-11
Approved without change
Extension without change of a currently approved collection 2004-04-08
Approved without change
Extension without change of a currently approved collection 2001-04-02
Approved without change
Extension without change of a currently approved collection 1998-02-23
Approved without change
Reinstatement without change of a previously approved collection 1995-01-27
Approved without change
Revision of a currently approved collection 1991-04-17
Approved without change
Extension without change of a currently approved collection 1988-02-05
Approved without change
Reinstatement with change of a previously approved collection 1985-03-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-07-17
Approved without change
Revision of a currently approved collection 1979-07-27
Approved without change
Reinstatement with change of a previously approved collection 1975-10-16
OMB Details

Chest Radiograph Classification (CDC/NIOSH Form 2.8)

Federal Enterprise Architecture: Health - Illness Prevention

Form 2.8Chest Radiograph ClassificationFillable FileableForm
Form 0920-0020Chest Radiograph Classification Form M 2.8 25MAR2019NAForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


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