National Occupational Safety and Health Professional Workforce Assessment: Employer and Education Provider Survey Data Collection

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Provider Questionnaire	Form	New	Available
Employer Questionnaire	Form	New	Available
Attachment F Employer Questionnaire	Form	New	Available
Employer screener	Form	New	Available
SUPPORTING STATEMENT Part B Dec 2.revised.doc	Supporting Statement B	Uploaded 2010-12-06	Available
Attachment L - NIOSH HSRB.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment K FRN Comments and Responses FINAL.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment B 60 day FRN.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment A Authorizing Legislation.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment I-2 Provider Phone Follow-up Prompt & Questionnaire.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment E Provider Invitation Letter.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment I-1 Employer Phone Follow-up Prompt & Questionnaire (Phases I&II).doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment H Follow-up Ltrs for Employers & Providers.doc	Supplementary Document	Uploaded 2010-08-04	Available
Attachment D Employer Invitation Letter (Phases I and II).doc	Supplementary Document	Uploaded 2010-08-04	Available
SUPPORTING STATEMENT Part A Dec 2 revised.doc	Supporting Statement A	Uploaded 2010-12-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194326	Provider Questionnaire	Form	New	Provider Questionnaire
194325	Employer Questionnaire	Form	New	Employer Questionnaire
194325	Employer Questionnaire	Form	New	Attachment F Employer Questionnaire
194324	Employer screener	Form	New	Employer screener

ICR Details

OMB Control No: 0920-0875	ICR Reference No: 201008-0920-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: National Occupational Safety and Health Professional Workforce Assessment: Employer and Education Provider Survey Data Collection
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: 12/20/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/19/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2011	12 Months From Approved
Responses	8,005	0	0
Time Burden (Hours)	898	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: As part of the mission to increase saftey and protect work health, NIOSH supports occupational safety and health education programs in regional Education and Research Centers and Training Project grants. Workforce assessments were conducted in 1977 and 1085, and in 2000 by the IOM. NIOSH plans another workforce assessment to collect information from employers of OS&H professionals and providers of training programs for OS&H professionals. The information will concern the current supply and future demand for OS&H professionals and desired competencies.

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Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupation 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 58631	11/13/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 46942	08/04/2010
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Employer Questionnaire	None, None	Employer Questionnaire ,   Attachment F Employer Questionnaire
Employer screener	none	Employer screener
Provider Questionnaire	None	Provider Questionnaire

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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	8,005	0	0	8,005	0	0
Annual Time Burden (Hours)	898	0	0	898	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.

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Annual Cost to Federal Government: $900,500

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? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 08/19/2010

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