Fatigue Management Training Module for Emergency Responders Evaluation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Finalfatmgmtques.docx Other-WORD
Screenshot.docx Other-WORD
OMB Request for Approval Ftg_Mgmt.docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Fatigue Management Training Module for Emergency Responders Evaluation	Agency IC Tracking Number:	15OD

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-WORD			Finalfatmgmtques.docx		Yes	Yes	Paper Only
Other-WORD			Screenshot.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

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: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	OMB Request for Approval Ftg_Mgmt.docx	02/27/2015

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