Information Collection Request

Survey to Evaluate Occupational and Safety Educational Materials for Home Care Workers

ICR 201012-0920-006 · OMB 0920-0880 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Att I- Consent Documents (3).docx Supplementary Document Uploaded 2011-03-08 Available
Att L NIOSH Health Hazard Evaluation Report.docx Supplementary Document Uploaded 2011-02-25 Available
SS PART B.doc Supporting Statement B Uploaded 2010-10-29 Available
Att I_Consent documents.doc Supplementary Document Uploaded 2010-10-29 Available
Att K_Sources of Survey Questions.doc Supplementary Document Uploaded 2010-10-29 Available
Att H_Confidentiality Stmt.doc Supplementary Document Uploaded 2010-10-29 Available
Att G_ HSRB.doc Supplementary Document Uploaded 2010-10-29 Available
Att J_Rcruitment Flyer and Reminder Notes.doc Supplementary Document Uploaded 2010-10-29 Available
Att B1- Stakeholder Participants.doc Supplementary Document Uploaded 2010-10-29 Available
Att B_60 FRN.doc Supplementary Document Uploaded 2010-10-29 Available
Att A_ Authorizing Leg.doc Supplementary Document Uploaded 2010-10-29 Available
Att E_Stakeholder Letters of Support.doc Supplementary Document Uploaded 2010-11-01 Available
Att F1_HC Handbook.pdf Supplementary Document Uploaded 2010-11-01 Available
Att D1_Recruitment Info.doc Supplementary Document Uploaded 2010-11-01 Available
Att I_Consent documents.doc Supplementary Document Uploaded 2010-11-01 Available
Att I_Consent documents.doc Supplementary Document Uploaded 2010-11-01 Available
Att I_Consent documents.doc Supplementary Document Uploaded 2010-11-01 Available
Att I_Consent documents.doc Supplementary Document Uploaded 2010-10-29 Available
SS PART A_102910 OMBcomments.docx Supporting Statement A Uploaded 2011-02-25 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
03/31/2014 12 Months From Approved
2,100 0 0
842 0 0
0 0 0





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 2,100 0 2,100 0 0 0
Annual Time Burden (Hours) 842 0 842 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No