Information Collection Request

Improving Organizational Management and Worker Behavior through Worksite Communication

ICR 201502-0920-005 · OMB 0920-1082 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Pre/Mid/Post HSMS Interview/Focus Group Questions Form and Instruction New Available
Pre/Mid/Post Behaviors and Helmet-CAM Interview Form and Instruction New Available
Mine Worker Survey Form and Instruction New Available
Nonsubstantive Public comment.docx Supplementary Document Uploaded 2015-02-10 Available
Attachment K.pdf Supplementary Document Uploaded 2015-02-10 Available
Attachment B.pdf Supplementary Document Uploaded 2015-02-10 Available
Attachment A.doc Supplementary Document Uploaded 2015-02-10 Available
SSB 20AUG2015_FINAL.docx Supporting Statement B Uploaded 2015-08-21 Available
SSA 20AUG2015_FINAL.docx Supporting Statement A Uploaded 2015-08-21 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
214929 Mine Recruitment Script/Consent Instruction New
214928 Mine Worker Recruitment Script/Consent Instruction New
214927 Pre/Mid/Post HSMS Interview/Focus Group Questions Form and Instruction New
214926 Pre/Mid/Post Behaviors and Helmet-CAM Interview Form and Instruction New
214925 Mine Worker Survey Form and Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
08/31/2018 36 Months From Approved
340 0 0
278 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 340 0 0 340 0 0
Annual Time Burden (Hours) 278 0 0 278 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No