OMB control number
National Coal Workers' Health Surveillance Program (CWHSP)
OMB 0920-0020 · HHS/CDC.
The Coal Workers' Health Surveillance Program (CWHSP) is a congressionally-mandated medical examination surveillance program for monitoring the health of coal miners. This program, which operates in accordance with 42 CFR Part 37, is useful in providing information to protect the health of coal miners and to document trends and patterns in the prevalence of coal workers' pneumoconiosis (`black lung' disease) among miners employed in U.S. coal mines. Non-Substantive Change Request is submitted to make minor updates to Medical Records Request Form. There are no changes to approved burden hours associated with this request.
The latest form for National Coal Workers' Health Surveillance Program (CWHSP) expires 2028-06-30 and can be found here.
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Chest Radiograph Classification - B Reader Physician
Federal Enterprise Architecture: Health - Illness Prevention
| Form CDC/NIOSH (M) 2.8 REV 01/2020 | Chest Radiograph Classification | Fillable Fileable | Form |
| Form 0920-0020-24IK | Chest Radiography | Fillable Fileable | Form |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.