OMB approves
this collection for a period of three years. To request approval of
information collections under this generic approval, the agency
must do the following: 1) Unless an agency is using multiple modes
of collection (e.g., paper forms and electronic submissions),
provide a Generic Clearance Submission Template for each
Instrument; 2) If the agency is using multiple modes of collection
(e.g., paper forms and electronic submissions), the same Generic
Clearance Submission Template may be used for both instruments; 3)
each Generic Clearance Submission Template must be uploaded as a
Supplementary document using a naming convention that allows the
public to identify the associated instrument; 4) submit no more
than five Generic Submission Templates with each request.
Inventory as of this Action
Requested
Previously Approved
07/31/2018
36 Months From Approved
12/31/2015
229,800
0
334,500
57,975
0
86,250
0
0
0
This collection of information is
necessary to enable the CDC/NIOSH to garner customer and
stakeholder feedback in an efficient, timely manner, in accordance
with our commitment to improving service delivery. The types of
collections that this generic clearance covers include, but are not
limited to: Customer comment cards/complaint forms, Small
discussion groups, Focus Groups of customers, potential customers,
delivery partners, or other stakeholders, Cognitive laboratory
studies, such as those used to refine questions or assess usability
of a website, Qualitative customer satisfaction surveys (e.g.,
post-transaction surveys; opt-out web surveys) and In-person
observation testing (e.g., website or software usability
tests).
PL:
Pub.L. 91 - 596 20 Name of Law: Occupational Safety and Health
Act of 1970
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:
(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;
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.
Form 0920-0953 Three Occupation-specific Units for the Workplace Violence Course: Focus Group Discussions for the Stand-alone Facilities, Home Health/Social Services, and Emergency Responder units
Generic_Clearance_Submission_Template[1].doc
NIOSH Part SS-B.docx
Three Occupation-specific Units for the Workplace Violence Course: Focus Group Discussions for the Stand-alone Facilities, Home Health/Social Services, and Emergency Responder units