Field Evaluation of Prototype Kneel-Assist Devices in Low-Seam Mining

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Phase II 1,3, and 6 months Forms	Form and Instruction	Modified	Available
Phase II Baseline Form	Form	Modified	Available
Phase II Section Foreman Form	Form	Modified	Available
Phase I Focus Group Questions	Form and Instruction	Modified	Available
Phase I 1 month form	Form	Modified	Available
Phase 1 Baseline Form	Form	Modified	Available
Phase I Section Foreman Form	Form and Instruction	Modified	Available
Supporting_Statement_B.doc	Supporting Statement B	Uploaded 2012-12-06	Available
Attachment_13_-_Photo_Release.doc	Supplementary Document	Uploaded 2012-12-06	Available
Attachment_4_-_Consent_forms_for_Phase_II.doc	Supplementary Document	Uploaded 2012-12-06	Available
Attachment_3_-_Consent_forms_for_Phase_I.doc	Supplementary Document	Uploaded 2012-12-06	Available
Supporting_Statement_A 11.14.12.doc	Supporting Statement A	Uploaded 2012-12-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
191374	Phase II - 1,3,6 Months Form	Form and Instruction	Modified	Phase II 1,3, and 6 months Forms
191373	Phase II - Baseline Form	Form	Modified	Phase II Baseline Form
191372	Phase 11 - Section Foreman Form	Form	Modified	Phase II Section Foreman Form
191371	Phase 1 - Focus Group Questions Moderator Guide	Form and Instruction	Modified	Phase I Focus Group Questions
191370	Phase 1 - 1 Month Form	Form	Modified	Phase I 1 month form
191369	Phase 1 Baseline Form	Form	Modified	Phase 1 Baseline Form
191368	Phase I Section Foreman Form	Form and Instruction	Modified	Phase I Section Foreman Form

ICR Details

OMB Control No: 0920-0843	ICR Reference No: 201212-0920-004
Status: Historical Active	Previous ICR Reference No: 201001-0920-008
Agency/Subagency: HHS/CDC	Agency Tracking No:
Title: Field Evaluation of Prototype Kneel-Assist Devices in Low-Seam Mining
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/04/2013
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/07/2012
Terms of Clearance: Previous terms continue: Approved consistent with an understanding that, given the narrow geographic scope of this project relative the locations where low-seam mines are found and the limited applicability to low-seam longwall mining, NISOSH will characterize the findings of this study accordingly.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2016	36 Months From Approved	01/31/2013
Responses	534	0	534
Time Burden (Hours)	216	0	216
Cost Burden (Dollars)	0	0	0

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Abstract: The current study is aimed at evaluating the new kneel-assist devices in the mining environment. Mine workers agreeing to be a part of the study will initially be asked some basic demographic information at the commencement of the field evaluation. These questions may include age, sex, years of experience in mining, and job type. These questions will become useful when trying to group data at a later time point. Mine workers will then be given a kneepad of their choice. This type of kneepad is to be worn for the following six months. NIOSH will provide the mine workers with multiple pairs of the kneepad so that they may be replaced if they become damaged. NIOSH researchers will ask the mine workers a series of questions 1, 3, and 6 months following the commencement of the study. These questions are aimed at understanding how the mine workers perceive their kneepad of choice. Questions involve topics like body discomfort, ease of movement, usability, and durability. It is very important to understand what mine workers think of their current kneepads. In this way, we can make comparisons to the new kneel-assist devices. After six months of wearing the kneepad of their choice, the mine workers will be asked to wear the new kneel-assist devices (kneepad and body weight.

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Authorizing Statute(s): PL: Pub.L. 29 - 669 20(a)(1) Name of Law: Occupational 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:
	77 FR 45614	08/01/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 71795	12/04/2012
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 7

table that charts list of burden

IC Title	Form No.	Form Name
Phase 1 - 1 Month Form	none	Phase I 1 month form
Phase 1 - Focus Group Questions Moderator Guide	none	Phase I Focus Group Questions
Phase 1 Baseline Form	none	Phase 1 Baseline Form
Phase 11 - Section Foreman Form	none	Phase II Section Foreman Form
Phase I Section Foreman Form	none	Phase I Section Foreman Form
Phase II - 1,3,6 Months Form	none	Phase II 1,3, and 6 months Forms
Phase II - Baseline Form	none	Phase II Baseline Form

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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	534	534	0	0	0	0
Annual Time Burden (Hours)	216	216	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $62,075

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? Yes

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: 12/07/2012

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