Healthcare Workers Primary Hazard Module

Survey of Healthcare Workers' Health and Safety Practices

OMB: 0920-0860

IC ID: 192661

Information Collection (IC) Details

View Information Collection (IC)

Healthcare Workers Primary Hazard Module
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 6 Chemical Sterilants Attachment I5_Module D_TC_72310.docx Yes Yes Fillable Fileable
Form and Instruction 3 Healthcare Workers Primary Hazard Module Attachment I2_Module A_FINAL_08042010.docx Yes Yes Fillable Fileable
Form and Instruction 4 Antineoplastic Agents (Compound) Attachment I3_Module B_FINAL_08042010.docx Yes Yes Fillable Fileable
Form and Instruction 9 Anesthetic Gases Attachment I8_Module G_TC_72310.docx Yes Yes Fillable Fileable
Form and Instruction 8 Surgical Smoke Attachment I7_Module F_TC_72310.docx Yes Yes Fillable Fileable
Form and Instruction 7 High Level Disinfectants Attachment I6_Module E_TC.docx Yes Yes Fillable Fileable
Form and Instruction 5 Antineoplastic Agents (Administer) Attachment I4_Module C_FINAL_8042010.docx Yes Yes Fillable Fileable

Health Illness Prevention

 

20,520 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 20,520 0 20,520 0 0 0
Annual IC Time Burden (Hours) 3,420 0 3,420 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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