Information Collection Request

Second Injury Control and Risk Survey (ICARIS-2), Phase-2

ICR 200609-0920-003 · OMB 0920-0513 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction Modified Available
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New Available
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New Available
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New Available
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New Available
Form none assigned Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction New Available
CDC Memo.doc Supplementary Document Uploaded 2007-01-23 Available
ICARIS2 Phase2 SS 07-13-2006 Part B clean.doc Supporting Statement B Uploaded 2006-08-14 Available
Cover-Note-ICARIS2-Phase2-Submission.doc Supplementary Document Uploaded 2006-08-14 Available
Att#5-Battelle-IRB-Approval-07Nov2005.pdf Supplementary Document Uploaded 2006-08-14 Available
Att#4-CDC-IRB-Approval-Amended-Phase2-Oct2005.doc Supplementary Document Uploaded 2006-08-14 Available
Att#3-60dayFRN ICARIS 2.pdf Supplementary Document Uploaded 2006-08-14 Available
Att#1-Phase2-PHSAct-Sects301-and-391.doc Supplementary Document Uploaded 2006-08-14 Available
ICARIS2 Phase2 SS 07-13-2006 Part A clean.doc Supporting Statement A Uploaded 2006-08-14 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
6958 Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction Modified
45315 Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New
45314 Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New
45313 Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New
45312 Second Injury Control and Risk Survey (ICARIS-2), Phase-2 Form and Instruction New
45311 Second Injury Control and Risk Survey (ICARIS-2), Phase 2 Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
01/31/2009 24 Months From Approved
4,725 0 0
620 0 0
0 0 0





table that charts list 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 4,725 0 0 -3,775 0 8,500
Annual Time Burden (Hours) 620 0 0 -5,277 0 5,897
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No