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Federal forms, ICRs, and supporting documents

Information Collection

Msg Testing for (3) Expedited Reviews--Detonation of an Improv Nuc Devise (Span), AND Impact of a Truck Driver Pub Hth Prac Proj, AND Dissemination of Occup Safety & Hlth Materials thru Mex Consul

IC 205130 under ICR 201111-0920-003 · OMB 0920-0572.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Other-Screen shots
Other-video
Other-video
Other-video
Other-Recruitment Script_Spanish
Other-Recruitment Script_English Tra
Other-Test
Other-Test
Other-Test document
Other-Testing document
Other-Testing document
Form
Form
Form
Form
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Msg Testing for (3) Expedited Reviews--Detonation of an Improv Nuc Devise (Span), AND Impact of a Truck Driver Pub Hth Prac Proj, AND Dissemination of Occup Safety & Hlth Materials thru Mex Consul
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Attachment D - Moderator's Guide.docx Yes Yes Printable Only
Form none Screening Instrument Attachment C - Screening Instrument.docx Yes Yes Fillable Printable
Instruction Attachment E - Participant Information Sheet.docx Yes Yes Paper Only
Other-Screen shots Attachment C- Screen Shots.pdf Yes Yes Printable Only
Other-video Attachment D - Sleep Debt PSA_30 seconds.mp3 Yes Yes Printable Only
Other-video Attachment F - Whole World Changes PSA_60 seconds.mp3 Yes Yes Printable Only
Other-video Attachment E - Whole World Changes PSA_30 seconds.mp3 Yes Yes Printable Only
Form none Truck Driver Opinion Survey Attachment B - Truck Driver Opinion Survey.docx Yes Yes Fillable Printable
Other-Recruitment Script_Spanish Attachment B-Recruitment Script_Spanish.docx Yes Yes Printable Only
Other-Recruitment Script_English Translation Attachment C-Recruitment Script_English Translation.docx Yes Yes Printable Only
Form none Exit Survey_Spanish Attachment D-Exit Survey_Spanish.docx Yes Yes Printable Only
Other-Test FinalScript_English_051812.doc Yes Yes Printable Only
Form none Exit Survey_English Translation Attachment E-Exit Survey_English Translation.docx Yes Yes Printable Only
Other-Test FinalScript_Spanish_051812.doc Yes Yes Printable Only
Other-Test document GeneralTest113012v01.pdf Yes Yes Printable Only
Other-Testing document HotelTest113012v01.pdf Yes Yes Printable Only
Other-Testing document SoftskillsTest120312v01.pdf Yes Yes Printable Only

Health Public Health Monitoring

 

644 0
   
Individuals or Households
 
   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 644 0 0 0 0 0
Annual IC Time Burden (Hours) 199 0 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Attachment A - Protocol Summary Attachment A - Protocol Summary.docx 12/14/2012
Attachment B - Protocol Detail Attachment B - Protocol Detail.docx 12/14/2012
HMTS Expedited Review Form 112812 HMTS Expedited Review Form 112812.pdf 12/14/2012
List of Attachments List of Attachments.docx 12/14/2012
Attachment A - Background Information Attachment A - Background Information.docx 12/14/2012
NIOSH Hitchcock HMTS Expedited Review Form 110612 NIOSH Hitchcock HMTS Expedited Review Form 110612.pdf 12/14/2012
List of Attachments List of Attachments.docx 12/14/2012
HMTS Expedited Review Form 120312 HMTS Expedited Review Form 120312.pdf 12/14/2012
List of Attachments List of Attachments.docx 12/14/2012
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.