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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

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 %

	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

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