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Information Collection Request

Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study

ICR 200002-0920-002 · OMB 0920-0021 · Historical Active

Forms and Documents
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IC Document Collections
IC IDCollectionTypeStatusForm
6622 Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study Migrated
ICR Details
0920-0021 200002-0920-002
Historical Active 199809-0920-004
HHS/CDC
Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study
Extension without change of a currently approved collection   No
Regular
Approved without change 03/10/2000
Retrieve Notice of Action (NOA) 02/01/2000
  Inventory as of this Action Requested Previously Approved
05/31/2003 05/31/2003 03/31/2000
150 0 600
62 0 125
0 0 0
The authority for this program is Title 42 CFR, Ch 1, Subchapter C, part 37. Through delegation of authority, NIOSH is authorized to make the necessary arrangements for providing this service to next-of-kin of the deceased miner. the Consent, Release and History form is used to obtain written authorization to perform an autopsy on the deceased miner. Because a basic reason for the post-mortem examination is research (both epidemiological and clinical), a minimum number of questions are essential regarding the miner, his/her occupational history, and smoking history - the latter because of the strong...
None
None
No
1
IC Title Form No. Form Name
Regulation 42 CFR 37.204 -- National Coal Workers' Autopsy Study
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 150 600 0 0 -450 0
Annual Time Burden (Hours) 62 125 0 0 -63 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
02/01/2000