OMB control number

Chronic Beryllium Disease Prevention Program

OMB 1910-5112 · DOE/DOEOA.

OMB 1910-5112

This information collection will be used by DOE contractors to manage their chronic beryllium disease prevention programs, provide information to employees, and facilitate DOE oversight of the programs.

The latest form for Chronic Beryllium Disease Prevention Program expires 2029-03-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form DOE F 440.1 Chronic Beryllium Disease Prevention Program Informed Consent Form Form and Instruction
Maintain Beryllium Registry
Annual Performance Feedback
Annual Recordkeeping
Signed Consent Forms for Medical Exams Form and Instruction
Signed Consent Forms for Medical Exams Form and Instruction
Worker Notification of Monitoring Results
Annual Revisions to CBDPP Plans

All Historical Document Collections

202603-1910-003 Approved with change	Reinstatement without change of a previously approved collection	2026-03-05
202104-1910-001 Approved with change	Revision of a currently approved collection	2021-04-30
201712-1910-002 Approved with change	Revision of a currently approved collection	2017-12-28
201212-1910-002 Approved with change	Revision of a currently approved collection	2012-12-27
200909-1910-001 Approved with change	Revision of a currently approved collection	2009-09-30
200609-1910-002 Approved with change	Revision of a currently approved collection	2006-09-15
200306-1910-001 Approved without change	Reinstatement without change of a previously approved collection	2003-06-24
200002-1910-001 Approved without change	New collection (Request for a new OMB Control Number)	2000-02-17

OMB Details

Annual Revisions to CBDPP Plans

Federal Enterprise Architecture: Health - Public Health Monitoring