Pulmonary Function Testing Course Approval Program

Forms and Documents

Document Name	Status
Form No number Pulmonary Function Testing Course Approval Program Annual Report Form and Instruction	Modified
Form No number Refresher Course Application Form and Instruction	New
Form No number Initial Application Form and Instruction	New
Form No number Renewal Application Form and Instruction	New
Attachment F FRN.pdf Supplementary Document	2008-03-18
Attachment A Legislative Authority a.doc Supplementary Document	2008-03-18
SS Part A&B.doc Supporting Statement A	2008-03-19

IC Document Collections

IC ID	Document Title	Status
6649	Pulmonary Function Testing Course Approval Program Annual Report Form and Instruction	Modified
184872	Request for Course Change Sample Other-Email	New
184871	Refresher Course Application Form and Instruction	New
184870	Initial Application Form and Instruction	New
184869	Renewal Application Form and Instruction	New

ICR Details

OMB Control No: 0920-0138	ICR Reference No: 200805-0920-006
Status: Historical Active	Previous ICR Reference No: 200411-0920-004
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Pulmonary Function Testing Course Approval Program
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/15/2008
	Date Received in OIRA: 05/13/2008
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2011	36 Months From Approved
Responses	73	0	0
Time Burden (Hours)	197	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This submission seeks revision of the currently approved pulmonary function testing course approval program. Applications are submitted voluntarily to NIOSH by institutions or businesses who seek approval to conduct training courses for technicans performing spirometry in the cotton industry. Course sponsors are periodically contacted to ascertain whether they are still conducting courses and the amount of training they have conducted.

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Authorizing Statute(s): US Code: 29 USC 1910.1043 Name of Law: Occupational Safety and Health Act
   US Code: 29 USC 21 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	72 FR 64650	11/16/2007
30-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 16859	03/31/2008
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

IC Title	Form No.	Form Name
Pulmonary Function Testing Course Approval Program Annual Report	No number	Annual Reporting Form
Renewal Application	No number	Renewal Application
Initial Application	No number	Initial Application
Refresher Course Application	No number	Refresher Course Application
Request for Course Change Sample

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ICR Summary of Burden

	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	73	0	0	73	0	0
Annual Time Burden (Hours)	197	0	0	197	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a reinstatement with change. They are revising forms.

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Annual Cost to Federal Government: $7,759

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 05/13/2008

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