Information Collection

Phase II PFD Evaluation Form

IC 184925 under ICR 200805-0920-011 · OMB 0920-0787.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0787 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 8 phase 2 form.doc	Other-Evaluation

IC Title:

Phase II PFD Evaluation Form

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

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
Other-Evaluation			Attachment 8 phase 2 form.doc		No	No	Paper Only

Line of Business: Health

Subfunction: Illness Prevention

Privacy Act System of Records

Title: Occupational Health Epidemiological Studies, HHS/CDC/NIOSH

FR Citation: 68 FR 55962

Number of Respondents: 200

Number of Respondents for Small Entity: 200

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	400	400
Annual IC Time Burden (Hours)	67	67
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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