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
Field Evaluation Informed Consent 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 New Available
Informed Consent 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 NewVest Usability Testing
207526 Vest Usability Testing Form and Instruction NewField Evaluation Informed Consent
207525 Roof Bolter Questionnaire Form and Instruction NewRoof Bolter Questionnaire
207524 Safety Director Questionnaire Form and Instruction NewSafety Director Questionnaire
207523 Subject Matter Expert Questionnaire Form and Instruction NewSubject Matter Expert Questionnaire
207522 General Preference Questionnaire Form and Instruction NewGeneral Preference Questionnaire
207521 Direct Observation: Fire Boss Form NewDirect Observation: Fire Boss
207520 Direct Observation: Continuous Miner Operator Form NewDirect Observation: Continuous Miner Operator
207520 Direct Observation: Continuous Miner Operator Form and Instruction NewInformed Consent
207519 Task and Cognitive Task Analysis: Fire Boss Form NewTask and Cognitive Task Analysis: Fire Boss
207518 Task and Cognitive Task Analysis: Continuous Miner Form NewTask and Cognitive Task Analysis: Continuous Miner
207517 Demographic Questionnaire Form NewDemographic Questionnaire
207516 Talent Waiver Other-Consent and Waiver New
207515 NIOSH Model Informed Consent Form Form and Instruction NewNIOSH Model Informed Consent Form

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





Reginfo record details
14
table that charts list of burden
IC Title Form No. Form Name
Demographic Questionnaire None
Direct Observation: Continuous Miner Operator None, None ,  
Direct Observation: Fire Boss None
Focus Groups
General Preference Questionnaire None
Lab Experiments
NIOSH Model Informed Consent Form None
Roof Bolter Questionnaire None
Safety Director Questionnaire None
Subject Matter Expert Questionnaire None
Talent Waiver
Task and Cognitive Task Analysis: Continuous Miner None
Task and Cognitive Task Analysis: Fire Boss None
Vest Usability Testing None, None ,  

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