OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

National Coal Workers' Health Surveillance Program (CWHSP)

ICR 202105-0920-011 · OMB 0920-0020 · Received in OIRA

Forms and Documents
Document
Name
Status
Form
 Modified
Form
 New
Form
 Modified
Form
 Modified
Form
 Modified
Form
 Modified
Form
 Modified
Form and Instruction
 Modified
Form
 Modified
Form
 Modified
Form
 Modified
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supplementary Document
2021-05-24
Supporting Statement B
2021-05-24
Supporting Statement A
2021-05-24
Justification for No Material/Nonsubstantive Change
2021-04-22
IC Document Collections
IC ID
Document
Title
Status
6620 Modified
247601 New
212093 Modified
212090 Modified
212089 Modified
212086 Modified
197450 Modified
197449 Modified
197448 Modified
197447 Modified
197446 Modified
183370 Modified
183369 Modified
183368 Modified
183367 Modified
ICR Details
0920-0020 202105-0920-011
Received in OIRA 202104-0920-005
HHS/CDC 0920-0020
National Coal Workers' Health Surveillance Program (CWHSP)
Revision of a currently approved collection   No
Regular 05/25/2021
  Requested Previously Approved
36 Months From Approved 09/30/2021
60,751 104,126
11,753 20,274
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. This revision adds a form to allow for compensation for pathologists.
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
  85 FR 8521 02/14/2020
86 FR 24336 05/06/2021
No
  Total Request 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 60,751 104,126 0 -43,375 0 0
Annual Time Burden (Hours) 11,753 20,274 0 -8,521 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
This revision includes the addition of a form for authorization for payment for autopsy, as well as adjustments to the number of respondents resulting in burden decreases.
$2,699,239
Yes Part B of Supporting Statement
    Yes
    Yes
No
No
No
No
Shari Steinberg 404 639-4942 sxw2@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.
05/25/2021