Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Authorization Form on behalf of Claimant under 42 CFR 83.7
Modified
3
0
1
Form and Instruction
n/a
Authorization for Individual or Entity to Petition HHS on Behalf of a Class of Energy Employees for Addition to the Special Exposure Cohort
Form A: Special Exposure Cohort Petition 42 CFR 83.9
Modified
2
0
1
Form and Instruction
n/a
Special Exposure Cohort Petition - Form A
Form B: Special Exposure Cohort Petition 42 CFR Part 83.9
Modified
5
25
181
Form and Instruction
n/a
Special Exposure Cohort Petition-Form B
Petitioner Appealing Final Decision under 42 CFR 83.18
Modified
2
10
73
Other-Example Request for Review
Petitioner Submission Format other than Form B 42 CFR 83.9
Modified
1
6
44
Instruction
Other-Example of Petition without Form B
Total burden requested under this ICR:
13
41
300
To view an IC, click on IC Title