Phase II - Baseline Form

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

OMB: 0920-0843

IC ID: 191373

Information Collection (IC) Details

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Phase II - Baseline Form
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Phase 1 Section Foreman Form Attachment 6 - Phase I Section Foreman Form.doc No No Paper Only
Form 2 Phase 1 Baseline Form Attachment 7 - Phase I Baseline Form.doc No No Paper Only
Form 3 Phase 1 - 1 Month Form Attachment 8 - Phase I 1 month form.doc No No Paper Only
Form and Instruction 4 Phase 1 - Focus Group Questions Attachment 9 - Phase I Focus Group Questions.doc No No Paper Only
Form 5 Phase II - Section Foreman Form Attachment 10 - Phase II Section Foreman Form.doc No No Paper Only
Form 6 Phase II Baseline Form Attachment 11 - Phase II Baseline Form.doc No No Paper Only

Health Illness Prevention

 

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

  Approved 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 54 0 54 0 0 0
Annual IC Time Burden (Hours) 18 0 18 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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