RESPIRATOR USE UNDER CONDITIONS OF HIGH METABOLIC DEMAND

ICR 198401-0920-002

OMB: 0920-0147

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
110785
Migrated
ICR Details
0920-0147 198401-0920-002
Historical Active
HHS/CDC
RESPIRATOR USE UNDER CONDITIONS OF HIGH METABOLIC DEMAND
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/06/1984
Retrieve Notice of Action (NOA) 01/17/1984
  Inventory as of this Action Requested Previously Approved
02/28/1986 02/28/1986
110 0 0
83 0 0
0 0 0

ABOUT 100 INDIVIDUALS, IN TEN DIFFERENT PLANTS, WILL BE TESTED WHILE THEY ARE WORKING WITH AND WITHOUT RESPIRATORY PROTECTIVE DEVICES IN THE WORKPLACE. INFORMATION IS NEEDED TO HELP DETERMINE WHY SOME PEOPLE DO NOT TOLERATE THE MASKS.

None
None


No

1
IC Title Form No. Form Name
RESPIRATOR USE UNDER CONDITIONS OF HIGH METABOLIC DEMAND

  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 110 0 0 110 0 0
Annual Time Burden (Hours) 83 0 0 83 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
01/17/1984


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