Appendix I Reminder Postcard

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Appendix I

Postcard Reminder

Note: Postcard will be printed on card stock with NIOSH/CDC logo

NIOSH SURVEY OF MINE SAFETY INTERVENTIONS

Form Approved

OMB No. 0920-XXXX

Exp. Date xx/xx/20xx

We recently sent you a copy of the Survey of Mine Safety Interventions, sponsored by the Mining Program of the National Institute for Occupational Safety and Health (NIOSH). If you have already completed this survey, thank you for your feedback. If not, please take a few minutes to complete the survey to help us assess whether NIOSH has developed safety interventions that meet the needs of the coal mining industry.

You may complete the survey in one of two ways; whichever is most convenient for you:

• OPTION 1: Complete the Web-based survey by logging on to:

[Insert WEB URL],

Password: [XXXX]

• OPTION 2: Complete the questionnaire previously mailed to you and return it using the self-addressed, stamped envelope provided.

Public reporting burden of this collection of information is estimated to average 5 seconds per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).

If you have questions or need a replacement survey, please contact NIOSH’s survey contractor, ICF International, toll-free during normal business hours (9:00am – 5:00pm EST) at 1-888-556-6355.

THANK YOU