The Epidemiology and Impact of Workplace Violence in Pennsylvania Teachers and Paraprofessionals

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PATeacher SectionB_Tiesman_(Final).doc	Supporting Statement B	Uploaded 2009-10-26	Available
References_tiesman.doc	Supplementary Document	Uploaded 2009-10-27	Available
Appendix H Reminder Postcard.doc	Supplementary Document	Uploaded 2009-10-27	Available
Appendix G.doc	Supplementary Document	Uploaded 2009-10-27	Available
Appendix E HSRB Approval Letter.pdf	Supplementary Document	Uploaded 2009-10-27	Available
Appendix D.doc	Supplementary Document	Uploaded 2009-10-27	Available
Appendix A.doc	Supplementary Document	Uploaded 2009-10-27	Repair queued
Appendix B.doc	Supplementary Document	Uploaded 2009-10-27	Available
PATeacher SectionA.doc	Supporting Statement A	Uploaded 2010-02-12	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191522	Office and Administrative Support		New
191521	Elementary and Secondary School Employees	Instruction	New

ICR Details

OMB Control No: 0920-0846	ICR Reference No: 200912-0920-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: The Epidemiology and Impact of Workplace Violence in Pennsylvania Teachers and Paraprofessionals
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: Approved with change	Conclusion Date: 02/12/2010
	Date Received in OIRA: 12/09/2009
Terms of Clearance: Approved consistent with the revised collection timeframe.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2011	04/30/2011
Responses	5,039	0	0
Time Burden (Hours)	2,578	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The objective of this research is to measure the magnitude, risk factors, and consequences of physical, non-physical, and electronic workplace violence (WPV) in a cohort of Pennsylvania K-12 teachers and paraprofessionals. The proposed study will identify teachers and paraprofessionals from state-based union records for participation in a paper-and-pencil questionnaire to detail the prevalence of WPV, circumstances surrounding these events, and the impact of these events on quality of life. A cross-sectional study design will be employed among a stratified random sample of teachers and paraprofessionals from three primary sampling units. The source population will include all teachers and paraprofessionals in one of the state-based educational unions. Paraprofessionals could include teaching aides, instructional aides, bus drivers, and food service workers. The unions and NIOSH have developed a system using a cross-walked unique identifier system that will allow NIOSH to select potential participants, deliver surveys, and follow-back with non-responders without risking the union member's confidentiality. Participants will be mailed an initial survey packet that includes an introduction letter and questionnaire. Approximately two weeks after the initial mailing, all participants will receive a reminder post-card. One month after the initial mailing, non-responders will receive another questionnaire packet. Study results will be used to inform and justify additional research activities and better target prevention efforts that will reduce injuries and negative consequences resulting from WPV.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20 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 18383	04/22/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 55045	10/26/2009
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
Elementary and Secondary School Employees
Office and Administrative Support

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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	5,039	0	0	5,039	0	0
Annual Time Burden (Hours)	2,578	0	0	2,578	0	0
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: No

Burden Reduction Due to:

Short Statement: This is a new ICR, no changes have been made.

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Annual Cost to Federal Government: $118,000

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: 12/09/2009

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