Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Coal Mine Operator's Plan New 200 100 0 Form and Instruction CDC/NIOSH (M) 2.9 Miner Identification Document
Form and Instruction CDC/NIOSH (M) 2.10 Coal Mine Operator's Plan
Facility Certification Document New 25 13 0 Form and Instruction CDC/NIOSH (M) 2.9 Miner Identification Document
Form and Instruction CDC/NIOSH (M) 2.10 Coal Mine Operator's Plan
Form and Instruction CDC/NIOSH (M) 2.11 Facility Certification Document
Interpretating Physician Certification Document New 300 50 0 Form and Instruction CDC/NIOSH (M) 2.9 Miner Identification Document
Form and Instruction CDC/NIOSH (M) 2.10 Coal Mine Operator's Plan
Form and Instruction CDC/NIOSH (M) 2.11 Facility Certification Document
Form and Instruction CDC/NIOSH (M) 2.12 Facility Certification Document
Miner Identification Document New 5000 1667 0 Form and Instruction CDC/NIOSH (M) 2.9 Miner Identification Document
Roentgenographic Interpretation Modified 10000 500 0 Form CDC/NIOSH (M) 2.8 Roentgenographic Interpretation
Total burden requested under this ICR: 15525 2330 0  
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