Virtual Reality to Train and Assess Emergency Responders

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Mine escape participants post-simulation questionnaire - field test	Form	New	Available
Mine rescue continuous mining participants - Pre/Post training Knowledge Test	Form	Modified	Available
Mine rescue longwall mining participants - Pre/post training knowledge test	Form	Modified	Available
Mine escape participants continuous mining - Pre/post training Knowledge Test	Form	Modified	Available
Mine escape longwall mining participants - Pre/Post Training Knowledge Test	Form	Modified	Available
Mine escape participants Post-training questionnaire	Form	Modified	Available
Mine escape participants Post-simulation Questionnaire	Form	Modified	Available
Mine escape participants pre-training questionnaire	Form	Modified	Available
Mine rescue participants post-training questionnaire	Form	Modified	Available
Mine rescue participants post-simulation questionnaire	Form	Modified	Available
Mine rescue participants pre-training questionnaire	Form	Modified	Available
Post-training Questionnaire	Form	Modified	Available
HSRB 2014.pdf	Supplementary Document	Uploaded 2014-07-17	Available
Attachment E.pdf	Supplementary Document	Uploaded 2014-07-17	Available
Attachment D.doc	Supplementary Document	Uploaded 2014-07-17	Available
Attachment B.pdf	Supplementary Document	Uploaded 2014-07-17	Available
Attachment A.docx	Supplementary Document	Uploaded 2014-07-17	Available
Supporting Statement B.docx	Supporting Statement B	Uploaded 2014-07-17	Available
Attachment A -(MINER ACT).pdf	Supplementary Document	Uploaded 2013-06-14	Available
Supporting Statement A_07082014.docx	Supporting Statement A	Uploaded 2014-07-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
212372	Mine escape participants: Post-simulation questionnaire - Field Test	Form	New	Mine escape participants post-simulation questionnaire - field test
207513	Mine Rescue/Continuous Mining participants: Pre/Post-Training Knowledge Test	Form	Modified	Mine rescue continuous mining participants - Pre/Post training Knowledge Test
207512	Mine Rescue/Longwall Mining participants: Pre/Post-Training Knowledge Test	Form	Modified	Mine rescue longwall mining participants - Pre/post training knowledge test
207511	Mine Escape/Continuous Mining participants: Pre/Post-Training Knowledge Test	Form	Modified	Mine escape participants continuous mining - Pre/post training Knowledge Test
207510	Mine Escape/Longwall Mining participants: Pre/Post-Training Knowledge Test	Form	Modified	Mine escape longwall mining participants - Pre/Post Training Knowledge Test
207509	Mine Escape participants: Post-Training Questionnaire	Form	Modified	Mine escape participants Post-training questionnaire
207508	Mine Escape participants: Post-Simulation Questionnaire - MRET Lab	Form	Modified	Mine escape participants Post-simulation Questionnaire
207507	Mine Escape participants: Pre-Training Questionnaire	Form	Modified	Mine escape participants pre-training questionnaire
207506	Mine Rescue participants: Post-Training Questionnaire	Form	Modified	Mine rescue participants post-training questionnaire
207505	Mine Rescue participants: Post-Simulation Questionnaire	Form	Modified	Mine rescue participants post-simulation questionnaire
207504	Mine Rescue Participants: Pre-Training Questionnaire	Form	Modified	Mine rescue participants pre-training questionnaire
207503	Drager BG4 participants: Post-Training Questionnaire	Form	Modified	Post-training Questionnaire

ICR Details

OMB Control No: 0920-0975	ICR Reference No: 201407-0920-006
Status: Historical Active	Previous ICR Reference No: 201404-0920-006
Agency/Subagency: HHS/CDC	Agency Tracking No: 19804
Title: Virtual Reality to Train and Assess Emergency Responders
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/24/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 07/22/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2017	36 Months From Approved	07/31/2016
Responses	750	0	510
Time Burden (Hours)	47	0	32
Cost Burden (Dollars)	0	0	0

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Abstract: The project seeks to determine optimal use of virtual reality (VR) technologies for training and assessing mine emergency responders using the Mine Rescue and Escape Training Laboratory (MRET Lab). Research activities involving rank-and-file underground coal miners who participate in the mine escape training may occur at either the MRET Lab or in an off-site classroom or other typical instructional setting at an above-ground mine safety training facility, mine administration building, or a university or academic environment (classroom setting). Having these subsamples allows us to assess uses for VR training applications, determine the additive value of training provided in the MRET Lab, and the benefits of adapting simulation-based mine emergency training to a broader audience. To accommodate mine escape participants for the MRET Lab modules and classroom settings, we request adding 60 participants to our 150 participant cap, leaving us with 30 BG4 participants, 60 mine rescue participants (MRET Lab), 60 mine escape participants (MRET Lab), and 60 mine escape participants (classroom setting), for a total of 210 participants.

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Authorizing Statute(s): PL: Pub.L. 109 - 236 1 Name of Law: Mine Improvement and New Emergency Response Act of 2006 (Miner Act)
   PL: Pub.L. 91 - 95 173 Name of Law: Mine 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:
	79 FR 28515	05/16/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 41693	07/17/2014
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

table that charts list of burden

IC Title	Form No.	Form Name
Drager BG4 participants: Post-Training Questionnaire	none	Post-training Questionnaire
Mine Escape participants: Post-Simulation Questionnaire - MRET Lab	none	Mine escape participants Post-simulation Questionnaire
Mine Escape participants: Post-Training Questionnaire	none	Mine escape participants Post-training questionnaire
Mine Escape participants: Pre-Training Questionnaire	none	Mine escape participants pre-training questionnaire
Mine Escape/Continuous Mining participants: Pre/Post-Training Knowledge Test	none	Mine escape participants continuous mining - Pre/post training Knowledge Test
Mine Escape/Longwall Mining participants: Pre/Post-Training Knowledge Test	none	Mine escape longwall mining participants - Pre/Post Training Knowledge Test
Mine Rescue Participants: Pre-Training Questionnaire	none	Mine rescue participants pre-training questionnaire
Mine Rescue participants: Post-Simulation Questionnaire	none	Mine rescue participants post-simulation questionnaire
Mine Rescue participants: Post-Training Questionnaire	none	Mine rescue participants post-training questionnaire
Mine Rescue/Continuous Mining participants: Pre/Post-Training Knowledge Test	none	Mine rescue continuous mining participants - Pre/Post training Knowledge Test
Mine Rescue/Longwall Mining participants: Pre/Post-Training Knowledge Test	none	Mine rescue longwall mining participants - Pre/post training knowledge test
Mine escape participants: Post-simulation questionnaire - Field Test	none	Mine escape participants post-simulation questionnaire - field test

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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	750	510	0	240	0	0
Annual Time Burden (Hours)	47	32	0	15	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: Burden increase is due to adding two subsamples to the study to allow NIOSH to better assess uses for virtual reality training applications, determine value of training in the Mine Rescue and Escape Training Lab, and benefits of adapting simulation-based mine emergency training to a broader audience.

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Annual Cost to Federal Government: $108,580

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: 07/22/2014

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