Spirometry Test for Coal Miners

National Coal Workers' Health Surveillance Program (CWHSP)

Documents and Forms

Document Name Document Type
Form CDC/NIOSH 2.6 (02/ Spirometry Test for Coal Miners Form
CDC/NIOSH 2.6 (02/2015) Consent, Release and History Form for Autopsy Attachment 19 NCWAS Consent, Release and Hist Form Form No. CDC NIOSH (M) 2.6.docx Form
0920-24IK Consent Release and History Form Attachment 19_Consent Release and History Form for Autopsy 01 2015_FILLABLE (2.6).pdf Form
Attachment 18 Sample Letter to Participating Miners_ Spiro Exam Results.docx Sample Letter (Spirometry Examination results) IC Document
Attachment 18_Sample Spiro Results Notification Letter BLANK.PDF Sample Spiro Results Notification IC Document

Information Collection (IC) Details