OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Survey of the Mining Population

IC 180290 under ICR 200705-0920-009 · OMB 0920-0754.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Survey of the Mining Population
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None National Survey of the Mining Population Questionnaire Appendix J Questionnaire Rev 10 NIOSH.doc Yes Yes Fillable Printable

Health Public Health Monitoring

 

1,648 0
   
Private Sector Businesses or other for-profits
 
   50 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,648 0 1,648 0 0 0
Annual IC Time Burden (Hours) 3,296 0 3,296 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Cover Letter to Respondent Mines Appendix I Cover letter2 Sig.doc 04/25/2007
Instructions for Accessing the Internet Version of the Questionnaire Appendix K Access Internet Survey.doc 04/25/2007
Questions and Answers Brochure Appendix L QA Brochure.doc 04/25/2007
Telephone Scripts for Initial and Follow-up Contact with Respondents Appendix M Phone Scripts.doc 04/25/2007
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.