OMB control number

National Coal Workers' Health Surveillance Program (CWHSP)

OMB 0920-0020 · HHS/CDC.

OMB 0920-0020

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.

Latest Forms, Documents, and Supporting Material
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All Historical Document Collections
Approved without change
No material or nonsubstantive change to a currently approved collection 2025-07-17
Reinstatement with change of a previously approved collection 2025-05-02
Approved without change
Revision of a currently approved collection 2022-02-07
Approved without change
Extension without change of a currently approved collection 2021-09-09
Improperly submitted and continue
Revision of a currently approved collection 2021-05-25
Approved without change
No material or nonsubstantive change to a currently approved collection 2021-04-22
Approved without change
No material or nonsubstantive change to a currently approved collection 2019-04-17
Approved without change
Extension without change of a currently approved collection 2018-06-28
Approved without change
No material or nonsubstantive change to a currently approved collection 2016-04-13
Approved without change
Reinstatement without change of a previously approved collection 2015-03-23
Approved with change
Revision of a currently approved collection 2014-07-09
Approved without change
Revision of a currently approved collection 2014-03-20
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-06-10
Approved without change
No material or nonsubstantive change to a currently approved collection 2013-02-08
Approved without change
Revision of a currently approved collection 2011-04-26
Approved without change
Reinstatement with change of a previously approved collection 2008-01-11
Approved without change
Extension without change of a currently approved collection 2004-04-08
Approved without change
Extension without change of a currently approved collection 2001-04-02
Approved without change
Extension without change of a currently approved collection 1998-02-23
Approved without change
Reinstatement without change of a previously approved collection 1995-01-27
Approved without change
Revision of a currently approved collection 1991-04-17
Approved without change
Extension without change of a currently approved collection 1988-02-05
Approved without change
Reinstatement with change of a previously approved collection 1985-03-04
Approved with change
No material or nonsubstantive change to a currently approved collection 1981-07-17
Approved without change
Revision of a currently approved collection 1979-07-27
Approved without change
Reinstatement with change of a previously approved collection 1975-10-16
OMB Details

Chest Radiograph Classification - B Reader Physician

Federal Enterprise Architecture: Health - Illness Prevention

Form CDC/NIOSH (M) 2.8 REV 01/2020Chest Radiograph ClassificationFillable FileableForm
Form 0920-0020-24IKChest RadiographyFillable FileableForm

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.