Phase II 1, 3, 6 months forms

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

OMB: 0920-0843

IC ID: 191374

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Phase II 1, 3, 6 months forms
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Phase I Section Foreman Form Attachment 6 - Phase I Section Foreman Form.doc No No Paper Only
Form 2 Phase I Baseline Form Attachment 7 - Phase I Baseline Form.doc No No Paper Only
Form 3 Phase I 1 month form Attachment 8 - Phase I 1 month form.doc No No Paper Only
Form and Instruction 4 Phase I Focus Group Questions Moderator Guide Attachment 9 - Phase I Focus Group Questions.doc No No Paper Only
Form and Instruction 5 Phase II Section Foreman Form Part 2 - Phase II Section Foreman.doc No No Paper Only
Form 6 Phase II Baseline Form Attachment 11 - Phase II Baseline Form.doc No No Paper Only
Form 7 Phase II 1, 3, 6 months forms Attachment 12 - Phase II 1 3 and 6 months forms.doc No No Paper Only

Health Illness Prevention

 

54 6
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested 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 324 0 324 0 0 0
Annual IC Time Burden (Hours) 135 0 135 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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