National Coal Workers' Health Surveillance Program (CWHSP)

ICR 201406-0920-018

OMB: 0920-0020

Federal Form Document

Forms and Documents
Document
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Status
Form
Modified
Form
New
Form
New
Form
New
Form
New
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New
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New
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Form and Instruction
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Supplementary Document
2014-07-30
Supporting Statement A
2014-07-30
Supporting Statement B
2014-06-25
Supplementary Document
2014-03-07
Supplementary Document
2014-03-07
Supplementary Document
2014-03-07
Supplementary Document
2014-03-07
Supplementary Document
2014-03-07
ICR Details
0920-0020 201406-0920-018
Historical Active 201403-0920-010
HHS/CDC 21545
National Coal Workers' Health Surveillance Program (CWHSP)
Revision of a currently approved collection   No
Emergency 07/30/2014
Approved with change 08/05/2014
Retrieve Notice of Action (NOA) 07/09/2014
  Inventory as of this Action Requested Previously Approved
02/28/2015 6 Months From Approved 05/31/2017
94,744 0 22,915
16,359 0 4,418
0 0 0

Due to new legislation, the National Institute for Occupational Safety and Health is requesting a revision which will expand data collection. 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, as amended in 1977 and 2006, PL-95-164 (the Act). The Act provides the regulatory authority for the administration of the CWHSP. This Program, which includes both a health surveillance and an autopsy component, has been useful in providing tools for protecting the health of miners (whose participation is entirely voluntary), and also in documenting trends and patterns in the prevalence of coal workers' pneumoconiosis ('black lung' disease) among miners employed in U.S. coal mines. During the early 1970s, one out of every three miners examined through the CWHSP who had worked at least 25 years underground had evidence of pneumoconiosis on their chest x-ray. An analysis among over 25,000 miners who participated in the x-ray Programs from 1996 to 2002 indicated that the proportion of affected individuals had decreased to about one in 20. However, recent surveillance analyses and research studies have confirmed that the prevalence of 'black lung' disease is increasing, there is regional clustering of rapidly progressive pneumoconiosis cases, and coal miners have a higher risk of disease if they perform certain jobs, work in smaller mines, or are from certain geographic areas. Importantly, young coal miners are developing the disabling and lethal forms of 'black lung'.
August 1, 2014 implementation requirement of expanded data collection due to new legislation.

PL: Pub.L. 91 - 173 203 Name of Law: Federal Coal Mine Health and Safety Act
   PL: Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health Act
  
None

0920-AA57 Final or interim final rulemaking 79 FR 45110 08/04/2014

  79 FR 396 01/03/2014
No

16
IC Title Form No. Form Name
Chest Radiograph Classification (CDC/NIOSH Form 2.8) CDC/NOISH (M) 2.8 Chest Radiograph Classification
Miner Identification Document (CDC/NIOSH 2.9) CDC/NOISH (M) 2.9 Miner Identification Document
Coal Mine Operator's Plan (CDC/NOISH (M) 2.10) 2.10 Coal Operator's Plan
Facility Certification Document (CDC/NIOSH (M) 2.11) CDC/NOISH (M) 2.11 Facility Certification Document
Physician Application for Certification (CDC/NIOSH (M) 2.12) CDC/NIOSH (M) 2.12 Physical Application for Certification
Consent Release and History Form- Next of Kin (CDC/NIOSH 2.6) CDC/NIOSH 2.6 Consent, Release and History Form
Invoice-Pathologist (CWHSP)
Report Pathologist (CWHSP)
Spirometry Test for Coal Miners
X-ray Coal Miners (CWHSP) 5, 6, 9 Coal Workers' Health Surveillance Program (CWHSP)-Consent Release and History Form- Next of Kim (form 2.6) ,   Coal Workers' Health Surveillance Program (CWHSP)- Invoice-Pathologist ,   Coal Workers' Health Surveillance Program (CWHSP)- Report Pathologist
Spirometry Facility Employee - Respiratory Assessment 2.13 2.13 Respiratory Assessment
Spirometry Technician - Pre-test Checklist 2.15 2.15 Spirometry Pre-test Checklist
Spirometry Facility Employee - Notification form 2.16 2.16 Spriometry Notification
Spirometry Facility Supervisor - Certification Document 2.14 2.14 Facility Certification
Spirometry Technician - Results Form 2.17 2.17 Spirometry Results
Coal Contractor Plan 2.18 2.18 Coal Contractor Plan

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 94,744 22,915 0 71,829 0 0
Annual Time Burden (Hours) 16,359 4,418 0 11,941 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
Yes
Changing Regulations
Increase in burden is due to expansion of data collection in accordance with MSHA final rule 30 CFR parts 70, 71, 72, 75 and 90.

$1,295,724
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Carol Marsh 404 639-4773 cww6@cdc.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
07/09/2014


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