Evaluation of Effectiveness of NIOSH Publications

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form No number NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents	Form	Modified	Repair queued
Form No number NIOSH Customer Satisfaction Survey - Unfamiliar with NIOSH respondents	Form	New	Available
Supporting Statement B.doc	Supporting Statement B	Uploaded 2009-01-28	Available
Attachment D2 Exemption Letter Battelle IRB.doc	Supplementary Document	Uploaded 2009-01-28	Repair queued
Attachment D1 Exemption Letter from NIOSH IRB.doc	Supplementary Document	Uploaded 2009-01-28	Repair queued
Attachment C7 Follow-up mailing cover letter.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C6 Reminder-Thank you postcard.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C5 Survey cover letter.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C4 Supporting Letter from Collaborating Associations.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C3 Survey Response Card.doc	Supplementary Document	Uploaded 2009-01-28	Repair queued
Attachment C2 Introductory Letter.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment B2 Comment + Response to 60-day FRN.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment B1 60 day FRN.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment A2 Presidential Memorandum on Improving Customer Service.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment A1 PublicLaw91-596.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C8 Survey Instructions.doc	Supplementary Document	Uploaded 2009-01-28	Available
Attachment C1 NIOSH CUSTOMER SATISFACTION SURVEY_2008_06_17.doc	Supplementary Document	Uploaded 2009-01-28	Available
Supporting Statement A.doc	Supporting Statement A	Uploaded 2009-02-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
6995	NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents	Form	Modified
188230	NIOSH Customer Satisfaction Survey - Unfamiliar with NIOSH respondents	Form	New

ICR Details

OMB Control No: 0920-0544	ICR Reference No: 200903-0920-001
Status: Historical Active	Previous ICR Reference No: 200305-0920-001
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Evaluation of Effectiveness of NIOSH Publications
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/28/2009
	Date Received in OIRA: 03/04/2009
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	12 Months From Approved
Responses	720	0	0
Time Burden (Hours)	205	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: NIOSH is conducting a follow-up NIOSH Customer Satisfaction Survey of occupational safety and health professionals. The current survey is a 5-year follow-up designed to enable NIOSH to determine the level of customer satisfaction and identify changes that have occurred in the intervening years. The purpose is to evaluate the effectiveness of NIOSH's communication and dissemination program. The survey is directed at four associations identifed with occupational safety and health who partner with NIOSH, as they did at the baseline survey.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20[a][1] Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	73 FR 15525	03/24/2008
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 5659	01/30/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 2

table that charts list of burden

IC Title	Form No.	Form Name
NIOSH Customer Satisfaction Survey- Familiar with NIOSH respondents	No number	NIOSH Customer Satisfaction Survey
NIOSH Customer Satisfaction Survey - Unfamiliar with NIOSH respondents	No number	NIOSH Customer Satisfaction Survey

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ICR Summary of Burden

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	720	0	0	120	0	600
Annual Time Burden (Hours)	205	0	0	5	0	200
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: Miscellaneous Actions

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

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a reinstatement with change.

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Annual Cost to Federal Government: $131,000

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? Yes

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)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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: 03/04/2009

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