Information Collection

Fatigue Prevention Training Module Customer Satisfaction and Feedback Survey

IC 214089 under ICR 201211-0920-003 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Fatigue Prevention Training Module Customer Satisfaction and Feedback Survey	Form and Instruction
NIOSH Fatigue Prevention Training Module Survey Fatigue prev training survey 30NOV2014.pdf	Form and Instruction
Request for Approval 1DEC2014.docx GenIC Request for Approval 0920-0953	IC Document

IC Title:

Fatigue Prevention Training Module Customer Satisfaction and Feedback Survey

Agency IC Tracking Number:

15FP

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	None	NIOSH Fatigue Prevention Training Module Survey	Fatigue prev training survey 30NOV2014.pdf	None	No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 150

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request for Approval 0920-0953	Request for Approval 1DEC2014.docx	12/01/2014

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