Respiratory Health of Healthcare Workers and Blood Donor History Questionnaires

NCHS Questionnaire Design Research Laboratory

OMB: 0920-0222

IC ID: 200032

Information Collection (IC) Details

View Information Collection (IC)

Respiratory Health of Healthcare Workers and Blood Donor History Questionnaires
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction none Survey on Respiratory Health QDRL NIOSH Resp Health Attach1.doc No No Paper Only
Form and Instruction none Blood Donor History Questionnaire QDRL OASH Blood Donor Attach 1.doc No No Paper Only

Health Immunization Management

Health and Demographic Surveys Conducted in Probablity Samples of the US Population  49 FR 37693

125 0
   
Individuals or Households
 
   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 125 0 0 0 0 0
Annual IC Time Burden (Hours) 125 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Letter to Dr. Schwab QDRL OMB-10-day combo letter.doc 10/31/2011
Respiratory - Att 2 Flyer QDRL NIOSH Resp Health Attach2.docx 10/31/2011
Respiratory - Letter to OMB QDRL NIOSH Resp Health 10-day letter.doc 10/31/2011
Blood Donor - Att 2a Flyer QDRL OASH Blood Donor Attach 2abc.docx 10/31/2011
Blood Donor - Letter to OMB QDRL OASH Blood Donor 10-day letter-fnl.doc 10/31/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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