Information Collection

Evaluation Of The Long-term Impact Of Worker Notification And Development Of An Evaluation Instrument For Routine Monitoring Of Current Notifications Conducted By Niosh

IC 111068 under ICR 199308-0920-006 · OMB 0920-0332.

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IC Title:

EVALUATION OF THE LONG-TERM IMPACT OF WORKER NOTIFICATION AND DEVELOPMENT OF AN EVALUATION INSTRUMENT FOR ROUTINE MONITORING OF CURRENT NOTIFICATIONS CONDUCTED BY NIOSH

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 173

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	173	173
Annual IC Time Burden (Hours)	141	141
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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