Information Collection Request

Assessing and Evaluating Human Systems Integration Needs in Mining

ICR 201306-0920-013 · OMB 0920-0981 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Vest Usability Testing Form and Instruction New Available
Roof Bolter Questionnaire Form and Instruction New Available
Safety Director Questionnaire Form and Instruction New Available
Subject Matter Expert Questionnaire Form and Instruction New Available
General Preference Questionnaire Form and Instruction New Repair queued
Direct Observation: Fire Boss Form New Available
Direct Observation: Continuous Miner Operator Form and Instruction New Available
Task and Cognitive Task Analysis: Fire Boss Form New Available
Task and Cognitive Task Analysis: Continuous Miner Form New Available
Demographic Questionnaire Form New Available
NIOSH Model Informed Consent Form Form and Instruction New Available
SectionB_MinerFirst.docx Supporting Statement B Uploaded 2013-06-13 Available
Appendix N_IRB approval.pdf Supplementary Document Uploaded 2013-06-14 Available
Appendix A -(MINER ACT).pdf Supplementary Document Uploaded 2013-06-13 Available
Appendix P_Vest Usability Protocol.doc Supplementary Document Uploaded 2013-06-14 Available
Appendix O_Direct Observation_Protocol.doc Supplementary Document Uploaded 2013-06-14 Available
SectionA_MinerFirst (3).docx Supporting Statement A Uploaded 2013-06-13 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207528 Lab Experiments Other-Protocol for Task and Cognitive Task Analysis and Informat New
207527 Focus Groups Other-Protocol for Task and Cognitive Task Analysis and Informat New
207526 Vest Usability Testing Form and Instruction New
207525 Roof Bolter Questionnaire Form and Instruction New
207524 Safety Director Questionnaire Form and Instruction New
207523 Subject Matter Expert Questionnaire Form and Instruction New
207522 General Preference Questionnaire Form and Instruction New
207521 Direct Observation: Fire Boss Form New
207520 Direct Observation: Continuous Miner Operator Form and Instruction New
207519 Task and Cognitive Task Analysis: Fire Boss Form New
207518 Task and Cognitive Task Analysis: Continuous Miner Form New
207517 Demographic Questionnaire Form New
207516 Talent Waiver Other-Consent and Waiver New
207515 NIOSH Model Informed Consent Form Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2015 36 Months From Approved
1,310 0 0
442 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 1,310 0 0 1,310 0 0
Annual Time Burden (Hours) 442 0 0 442 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No