NIOSH is charged with developing reasonable estimates of the radiation doses incurred occupationally by U.S. nuclear weapons workers with cancer that are covered by the Energy Employees Occupational Illness Compensation Program Act of 2000. These radiation dose reconstructions are completed using methods promulgated by HHS under 42 CFR 82. An essential data source for completing the dose reconstructions is the information collected through structured telephone interviews conducted with claimants, who may be energy employees or surviving family members. In some cases, if necessary, co-workers of the employee are interviewed. These individuals may have unique knowledge of work conditions, radiation protection measures, and monitoring practices that are not available from other sources. At the completion of the dose reconstruction process, claimants review the estimated radiation dose, and signify that they have no more relevant information to offer by submitting a conclusion form (OCAS-1). The expiration date lapsed before an extension could be completed so the program is seeking a reinstatement without change. There are no changes to the information collection instruments or the burden estimates.
The latest form for Energy Employees Occupational Illness Compensation Program Act Dose Reconstruction Interviews and Forms (EEOICPA) expires 2022-01-31 and can be found here.
Document Name |
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Form and Instruction |
Form |
Supplementary Document |
Supporting Statement B |
Supporting Statement A |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Approved without change |
Extension without change of a currently approved collection | 2021-11-08 | |
Approved without change |
Reinstatement without change of a previously approved collection | 2018-07-05 | |
Approved without change |
Extension without change of a currently approved collection | 2015-02-09 | |
Approved without change |
Extension without change of a currently approved collection | 2012-01-18 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2010-02-02 | |
Approved without change |
Reinstatement without change of a previously approved collection | 2009-03-09 | |
Approved without change |
Revision of a currently approved collection | 2005-10-26 | |
Approved without change |
Extension without change of a currently approved collection | 2002-05-06 | |
Approved without change |
Extension without change of a currently approved collection | 2002-02-14 | |
Approved without change |
New collection (Request for a new OMB Control Number) | 2001-10-09 |
Federal Enterprise Architecture: Health - Consumer Health and Safety
Form 0920-0530 | Telephone Interviews and Intro Letters | NA | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.