Information Collection Request
Energy Employees Occupational Illness Compensation Program Act Dose Reconstruction Interviews and Forms (EEOICPA)
ICR 202502-0920-003 · OMB 0920-0530 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-0530 EEOICPA Dose Reconstruction Introductory Letters & Telephone Interview |
Form | Modified | Repair queued |
| Form OCAS-1 EEOICPA Dose Reconstruction Interviews Conclusion Form |
Form | Modified | Repair queued |
 Attachment E IRB 16Dec2024.docx |
Supplementary Document | Uploaded 2025-02-24 | Repair queued |
 Attachment A.3.pdf |
Supplementary Document | Uploaded 2025-02-24 | Missing upstream |
| Attachment A.2.pdf |
Supplementary Document | Uploaded 2025-02-24 | Missing upstream |
| Attachment A.1.pdf |
Supplementary Document | Uploaded 2025-02-24 | Repair queued |
| Attachment E IRB 04NOV2021.docx |
Supplementary Document | Uploaded 2021-11-05 | Repair queued |
| Supporting statement B 2025.docx |
Supporting Statement B | Uploaded 2025-02-24 | Repair queued |
| Supporting statement A 2025.docx |
Supporting Statement A | Uploaded 2025-02-24 | Repair queued |
| Attachment B 60day FRN.pdf |
Supplementary Document | Uploaded 2021-10-28 | Repair queued |
 Privacy Act Checklist.doc |
Supplementary Document | Uploaded 2018-07-03 | Repair queued |
| Attachment A.3.pdf |
Supplementary Document | Uploaded 2015-01-29 | Repair queued |
| Attachment A.2.pdf |
Supplementary Document | Uploaded 2015-01-29 | Repair queued |
| Attachment A.1.pdf |
Supplementary Document | Uploaded 2015-01-29 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 6981 |  EEOICPA Dose Reconstruction Introductory Letters & Telephone Interview |
Form | Modified | |
| 188308 | EEOICPA Dose Reconstruction Interviews Conclusion Form |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-0530 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 202110-0920-006 |
| Agency Tracking No | 0920-0530 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |