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Direct Observation: Continuous Miner Operator
Assessing and Evaluating Human Systems Integration Needs in Mining
OMB: 0920-0981
IC ID: 207520
OMB.report
HHS/CDC
OMB 0920-0981
ICR 201403-0920-003
IC 207520
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0981 can be found here:
2015-10-01 - Reinstatement with change of a previously approved collection
Documents and Forms
Document Name
Document Type
Direct Observation: Continuous Miner Operator
Form and Instruction
Informed Consent
Appendix K_Direct Observation Consent and Consent Script.docx
Form and Instruction
Direct Observation: Continuous Miner Operator
Appendix C1_Direct Observation.docx
Form
Appendix O_Direct Observation_Protocol.doc
Appendix O_Direct Observation_Protocol
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Direct Observation: Continuous Miner Operator
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Modified
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
Form and Instruction
None
Informed Consent
Appendix K_Direct Observation Consent and Consent Script.docx
Yes
No
Paper Only
Form
None
Direct Observation: Continuous Miner Operator
Appendix C1_Direct Observation.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
10
0
0
0
0
10
Annual IC Time Burden (Hours)
40
0
0
0
0
40
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Appendix O_Direct Observation_Protocol
Appendix O_Direct Observation_Protocol.doc
06/14/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.