Field Evaluation of Prototype Kneel-Assist Devices in Low-Seam Mining

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 7 Phase II 1, 3, 6 months forms	Form	New	Available
Form 6 Phase II Baseline Form	Form	New	Available
Form 5 Phase II Section Foreman Form	Form and Instruction	New	Available
Form 4 Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Available
Form 3 Phase I 1 month form	Form	New	Available
Form 2 Phase I Baseline Form	Form	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Form 6 Phase II Baseline Form	Form	New	Available
Form 5 Phase II Section Foreman Form	Form and Instruction	New	Available
Form 4 Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Available
Form 3 Phase I 1 month form	Form	New	Available
Form 2 Phase I Baseline Form	Form	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Form 5 Phase II Section Foreman Form	Form and Instruction	New	Available
Form 4 Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Available
Form 3 Phase I 1 month form	Form	New	Available
Form 2 Phase I Baseline Form	Form	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Repair queued
Form 4 Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Available
Form 3 Phase I 1 month form	Form	New	Repair queued
Form 2 Phase I Baseline Form	Form	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Form 3 Phase I 1 month form	Form	New	Available
Form 2 Phase I Baseline Form	Form	New	Repair queued
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Form 2 Phase I Baseline Form	Form	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Form 1 Phase I Section Foreman Form	Form and Instruction	New	Available
Supporting Statement B1.doc	Supporting Statement B	Uploaded 2009-10-30	Available
Attachment 13.doc	Supplementary Document	Uploaded 2009-10-30	Available
Attachment 5 - HSRB.doc	Supplementary Document	Uploaded 2009-10-30	Available
Attachment 4 - Consent forms for Phase II.doc	Supplementary Document	Uploaded 2009-10-30	Available
Attachment 3 - Consent forms for Phase I.doc	Supplementary Document	Uploaded 2009-10-30	Available
Attachment 2 60-Day FRN.doc	Supplementary Document	Uploaded 2009-10-30	Repair queued
Attachment 1 - Authorizing Legislation.doc	Supplementary Document	Uploaded 2009-10-30	Available
Supporting Statement A.doc	Supporting Statement A	Uploaded 2009-10-30	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191374	Phase II 1, 3, 6 months forms	Form	New	Phase II 1, 3, 6 months forms
191374	Phase II 1, 3, 6 months forms	Form	New	Phase II Baseline Form
191374	Phase II 1, 3, 6 months forms	Form and Instruction	New	Phase II Section Foreman Form
191374	Phase II 1, 3, 6 months forms	Form and Instruction	New	Phase I Focus Group Questions Moderator Guide
191374	Phase II 1, 3, 6 months forms	Form	New	Phase I 1 month form
191374	Phase II 1, 3, 6 months forms	Form	New	Phase I Baseline Form
191374	Phase II 1, 3, 6 months forms	Form and Instruction	New	Phase I Section Foreman Form
191373	Phase II Baseline Form	Form	New	Phase II Baseline Form
191373	Phase II Baseline Form	Form and Instruction	New	Phase II Section Foreman Form
191373	Phase II Baseline Form	Form and Instruction	New	Phase I Focus Group Questions Moderator Guide
191373	Phase II Baseline Form	Form	New	Phase I 1 month form
191373	Phase II Baseline Form	Form	New	Phase I Baseline Form
191373	Phase II Baseline Form	Form and Instruction	New	Phase I Section Foreman Form
191372	Phase II Section Foreman Form	Form and Instruction	New	Phase II Section Foreman Form
191372	Phase II Section Foreman Form	Form and Instruction	New	Phase I Focus Group Questions Moderator Guide
191372	Phase II Section Foreman Form	Form	New	Phase I 1 month form
191372	Phase II Section Foreman Form	Form	New	Phase I Baseline Form
191372	Phase II Section Foreman Form	Form and Instruction	New	Phase I Section Foreman Form
191371	Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Phase I Focus Group Questions Moderator Guide
191371	Phase I Focus Group Questions Moderator Guide	Form	New	Phase I 1 month form
191371	Phase I Focus Group Questions Moderator Guide	Form	New	Phase I Baseline Form
191371	Phase I Focus Group Questions Moderator Guide	Form and Instruction	New	Phase I Section Foreman Form
191370	Phase I 1 month form	Form	New	Phase I 1 month form
191370	Phase I 1 month form	Form	New	Phase I Baseline Form
191370	Phase I 1 month form	Form and Instruction	New	Phase I Section Foreman Form
191369	Phase I Baseline Form	Form	New	Phase I Baseline Form
191369	Phase I Baseline Form	Form and Instruction	New	Phase I Section Foreman Form
191368	Phase I Section Foreman Form	Form and Instruction	New	Phase I Section Foreman Form

ICR Details

OMB Control No: 0920-0843	ICR Reference No: 200911-0920-006
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Field Evaluation of Prototype Kneel-Assist Devices in Low-Seam Mining
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: Withdrawn	Conclusion Date: 01/27/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/23/2009
Terms of Clearance: Withdrawn consistent with memo received from CDC on 1/27/2010.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Knee injuries in low-seam mining are estimated to have cost the industry nearly $3 million in 2007. Furthermore, there can be a drastic reduction in quality of life after sustaining a knee injury. For these reasons, the National Institute for Occupational Safety and Health has begun investigating methods to reduce knee injuries in low-seam mines. The current study is aimed at evaluating the new kneel-assist devices in the mining environment. This study will be divided into two phases. During Phase I, a small group of mine workers will be used to provide feedback regarding various design aspects of the kneepad. With this feedback, a final prototype kneepad will be designed which will then be field tested (Phase II). Mine workers used in the Phase I will not be used for Phase II. Mine workers participating in phase II will be required to respond to inquiries at a total of seven time pints. All mine workers (Phase I and Phase II) agreeing to be a part of the study will initially be asked some basic demographic information at the commencement of the field evaluation. These questions may include age, sex, years of experience in mining, and job type. These questions will become useful when trying to group data at a later time point. Mine workers participating in phase I will then be given the prototype kneel-assist devices and asked to evaluate them one month after beginning use. These mine workers may go through several iterations of prototypes, each time answering the same questions after using the new design for one month. Once satisfactory prototypes have been developed, Phase II will commence. At the completion of field testing, NIOSH will have concrete evidence to support the use of their newly designed kneel-assist devices. With these data, NIOSH may then publish articles informing the mining industry of the existence of these new kneel-assist devices. In this way, NIOSH hopes to make a positive impact on the low-seam mining industry.

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Authorizing Statute(s): PL: Pub.L. 29 - 669 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:
	74 FR 12133	03/23/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 56841	11/03/2009
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Phase I 1 month form	1, 2, 3	Phase I Section Foreman Form ,   Phase I Baseline Form ,   Phase I 1 month form
Phase I Baseline Form	1, 2	Phase I Section Foreman Form ,   Phase I Baseline Form
Phase I Focus Group Questions Moderator Guide	1, 2, 3, 4	Phase I Section Foreman Form ,   Phase I Baseline Form ,   Phase I 1 month form ,   Phase I Focus Group Questions Moderator Guide
Phase I Section Foreman Form	1	Phase I Section Foreman Form
Phase II 1, 3, 6 months forms	1, 2, 3, 4, 5, 6, 7	Phase I Section Foreman Form ,   Phase I Baseline Form ,   Phase I 1 month form ,   Phase I Focus Group Questions Moderator Guide ,   Phase II Section Foreman Form ,   Phase II Baseline Form ,   Phase II 1, 3, 6 months forms
Phase II Baseline Form	1, 2, 3, 4, 5, 6	Phase I Section Foreman Form ,   Phase I Baseline Form ,   Phase I 1 month form ,   Phase I Focus Group Questions Moderator Guide ,   Phase II Section Foreman Form ,   Phase II Baseline Form
Phase II Section Foreman Form	3, 4, 5, 2, 1	Phase I Section Foreman Form ,   Phase I Baseline Form ,   Phase I 1 month form ,   Phase I Focus Group Questions Moderator Guide ,   Phase II Section Foreman Form

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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: No

Burden Reduction Due to:

Short Statement: This is a new ICR submission.

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Annual Cost to Federal Government: $55,393

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)? 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: 11/23/2009

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