Document Rjkn7DRoVkDxEpvob9X43DE2v

in ATTACHMENT A A. Investigation of Health Hazards in Brake Lining Repairs and Maintenance Workers Occupationally Exposed to Asbestos (NIOSH 210-77-0119-0000) B. The procedures and tests which involve hi man subjects in conduct of this project are as follows: Blood tests Urine analysis Sputum cytology Chest x-ray Pultaonary function tests Physical examination Each of the above provides important information for the evaluation of health status. There is miner discomfort associated wich the drawing of blood from the arm. The sputum cytology involves coughing up phlegm rom the throat into a container which is provided. The pulmonary function est involves a maximum breathing effort. ft C. Rights under the Privacy Act of 1974 Title 5 United States Code, Section 552(a)(e)(3) . The information required to be given to me under the Privacy Act of 1974 is as follows: 1) Authority for collecting information is the Occupational Safety and Health Act of 1970, 2) The principal purpose of this study is as stated in Section I, Item 3. 3) Routine use of this information is in developing criteria and programs for a safe and healthy place of employment. 4) I do not have to furnish any information I do not wish to. Nothing happens to me as a result of ny not providing information, whether all or in part of that requested, except that I may be terminated from the project.