Workplace Stress Among Underground Coal Miners

Forms and Documents

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Collection	Type	Status	Form
7126	Workplace Stress Among Underground Coal Miners		Migrated

ICR Details

OMB Control No: 0920-0657	ICR Reference No: 200407-0920-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Workplace Stress Among Underground Coal Miners
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/10/2004
	Date Received in OIRA: 07/29/2004
Terms of Clearance: Approved consistent with the following terms: CDC acknowledges that the prospective study design will not produce results that will be gerneralizable to the coal mining work force or the general population. CDC further acknowledges that the limitations of the study design will not allow for determination of SCRA as a biomarker for workplace stress. CDC will provide a report to OMB upon completion of the study detailing analysis and results. CDC will amend the race and ethnicity question to conform to accepted government standards.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2006	01/31/2006
Responses	267	0	0
Time Burden (Hours)	111	0	0
Cost Burden (Dollars)	0	0	0

---

Abstract: A growing body of literature links chronic workplace stress with a variety of psychological and physical disorders. In order to investigate a potential biomarker for workplace stress, the cortisol response to awakening. NIOSH is planning to conduct a study in which a questionnaire asking about workplace stressors will be administered to underground coal miners. Miners will subsequently obtain a series of 5 saliva samples at home after awakening, which will be assays for cortisol. The cortisol response to awakening provides a measure of the functionality of the Hypothalamic-Pituitary-Adrenal (HPA) axis...

---

Authorizing Statute(s): None

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

---

Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Workplace Stress Among Underground Coal Miners

---

ICR Summary of Burden

	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	267	0	0	267	0	0
Annual Time Burden (Hours)	111	0	0	111	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/29/2004

---