Incentives for the Adoption of Youth@Work -Talking Safety Curriculum

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Discussion Guide	Form and Instruction	New	Available
Interview Recruitment for Superintendent's Office	Form and Instruction	New	Available
Interview Recruitment Script for Respondent	Form and Instruction	New	Available
Attachment H_Interview Opening Statement.docx	Supplementary Document	Uploaded 2015-03-26	Available
Attachment L_Talking Safety Info Sheet_EH.pdf	Supplementary Document	Uploaded 2014-11-05	Available
Attachment K_Public Comment_EH.docx	Supplementary Document	Uploaded 2014-11-05	Available
Attachment D_Recruitment Letter to Superintendent's Office.docx	Supplementary Document	Uploaded 2014-11-05	Available
Attachment C_Recruitment Letter to Respondent.docx	Supplementary Document	Uploaded 2014-11-05	Available
Attachment B_60DayFRN.pdf	Supplementary Document	Uploaded 2014-11-05	Available
Attachment A_OSHA Act.docx	Supplementary Document	Uploaded 2014-11-05	Available
Section B 3.26.15.docx	Supporting Statement B	Uploaded 2015-03-26	Available
Section A 3.26.15.docx	Supporting Statement A	Uploaded 2015-03-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
213745	Discussion Guide	Form and Instruction	New
213744	Interview Recruitment for Superintendent's Office	Form and Instruction	New
213743	Interview Recruitment Script for Respondent	Form and Instruction	New

ICR Details

OMB Control No: 0920-1060	ICR Reference No: 201411-0920-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 14AOD
Title: Incentives for the Adoption of Youth@Work -Talking Safety Curriculum
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/26/2015
	Date Received in OIRA: 11/18/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	24 Months From Approved
Responses	196	0	0
Time Burden (Hours)	34	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This study will use 28 key informant interviews to explore attitudes and beliefs of public school assistant superintendents and/or curriculum coordinators as to the inclusion and integration of workplace safety and health skills (within the area of life skills) in academic, career technical and vocational training programs in middle and high schools. These interviews will collect information on the receptivity of the school systems to incorporate workplace safety and health competencies for adolescents (young workers) as a vital component of their curricula within both academic and vocational education programs at the middle and high school level.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 2193 Name of Law: OSHA
  

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 41690	07/17/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 66381	11/07/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Interview Recruitment Script for Respondent	none	Recruitment Script for Respondent
Interview Recruitment for Superintendent's Office	none	Recruitment Script for Superintendent's Office
Discussion Guide	none	Discussion Guide

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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	196	0	0	196	0	0
Annual Time Burden (Hours)	34	0	0	34	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: This is a new ICR.

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Annual Cost to Federal Government: $18,946

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? No

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: 11/18/2014

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