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OMB Control No: 0920-0639	ICR Reference No: 202511-0920-001
Status: Received in OIRA	Previous ICR Reference No: 202211-0920-005
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-0639
Title: [NIOSH] EEOICPA Special Exposure Cohort Petition Forms (42 CFR Part 8)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 12/08/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2026
Responses	13	13
Time Burden (Hours)	41	41
Cost Burden (Dollars)	300	300

Abstract: The Energy Employees Occupational Illness Compensation Program Act of 2000 (EEOICPA), 42 U.S.C. 7384-7385 [1994, supp. 2001], established a compensation program to provide a lump sum payment of $150,000 and medical benefits as compensation to covered employees suffering from designated illnesses incurred as a result of their exposure to radiation, beryllium, or silica while in the performance of duty for the Department of Energy and certain of its vendors, contractors and subcontractors. NIOSH is charged with carrying out certain responsibilities under the Energy Employees Occupational Illness Compensation Program Act of 2000 on behalf of U.S. nuclear weapons workers with cancer. One of these responsibilities is to consider petitions by classes of nuclear weapons workers to be added to the Special Exposure Cohort (SEC), a cohort of workers whose claims for cancer under EEOICPA can be adjudicated without demonstrating that their cancer was “at least as likely as not” caused by radiation doses they incurred in the performance of duty. EEOICPA authorizes HHS to designate such classes of employees for addition to the Cohort when HHS lacks information to estimate the radiation doses received by these workers with sufficient accuracy. This Extension will serve to allow this information collection to continue for an additional three years.

Authorizing Statute(s): EO: EO 13179 Name/Subject of EO: Providing Compensation to America's Nuclear Weapons Workers
   PL: Pub.L. 42 - 83 1 Name of Law: Procedures for Designating
   US Code: 42 USC 7834 Name of Law: Employees Occupational Ilness Compensation Program Act

Citations for New Statutory Requirements: None

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 35528	07/28/2025
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 56156	12/05/2025
Did the Agency receive public comments on this ICR? Yes

ICR Summary of Burden

	Total Request	Previously Approved
Annual Number of Responses	13	13
Annual Time Burden (Hours)	41	41
Annual Cost Burden (Dollars)	300	300

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

Annual Cost to Federal Government: $11,627

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

Agency Contact: Jeffrey Zirger 404 639-7118 wtj5@cdc.gov

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