National Coal Workers' Health Surveillance Program (CWHSP)

ICR 201903-0920-009

OMB: 0920-0020

Federal Form Document

Forms and Documents
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Name
Status
Form
Modified
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Unchanged
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Unchanged
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Form
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Modified
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Justification for No Material/Nonsubstantive Change
2019-03-26
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-25
Supplementary Document
2018-06-20
Supplementary Document
2018-06-20
Supplementary Document
2018-06-20
Supplementary Document
2018-06-19
Supplementary Document
2015-03-18
Supporting Statement B
2018-06-19
Supporting Statement A
2018-06-28
Supplementary Document
2014-07-30
Supplementary Document
2014-03-07
ICR Details
0920-0020 201903-0920-009
Active 201806-0920-008
HHS/CDC 0920-0020
National Coal Workers' Health Surveillance Program (CWHSP)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 04/23/2019
Retrieve Notice of Action (NOA) 04/17/2019
  Inventory as of this Action Requested Previously Approved
09/30/2021 09/30/2021 09/30/2021
104,126 0 104,146
20,274 0 20,278
0 0 0

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.

PL: Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health Act
   US Code: 42 USC 37 Name of Law: Specifications for Medical Exam of Coal Miners
   PL: Pub.L. 91 - 173 203 Name of Law: Federal Coal Mine Health and Safety Act
  
None

Not associated with rulemaking

  83 FR 15840 04/12/2018
83 FR 29556 06/25/2018
Yes

  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 104,126 104,146 0 -20 0 0
Annual Time Burden (Hours) 20,274 20,278 0 -4 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
Non-Substantive Change Request is submitted to make minor changes to the following forms: Chest Radiograph Classification Form, Miner Identification Document, Physician Application for Certification Change in the recertification period for B Readers results in an overall decrease in four Burden Hours.

$2,499,239
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
Uncollected
Jeffrey Zirger 404 639-7118 wtj5@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.
04/17/2019


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