Information Collection Request

Assessing and Evaluating Human Systems Integration Needs in Mining

ICR 201509-0920-003 · OMB 0920-0981 · Historical Inactive

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Vest Usability Testing Form and Instruction Unchanged Available
Field Evaluation Informed Consent Form and Instruction Unchanged Available
Roof Bolter Questionnaire Form and Instruction Unchanged Available
Safety Director Questionnaire Form and Instruction Unchanged Available
Subject Matter Expert Questionnaire Form and Instruction Modified Available
General Preference Questionnaire Form and Instruction Modified Available
Direct Observation: Fire Boss Form Modified Available
Direct Observation: Continuous Miner Operator Form Removed Available
Informed Consent Form and Instruction Removed Available
Task and Cognitive Task Analysis: Fire Boss Form Unchanged Available
Task and Cognitive Task Analysis: Continuous Miner Form Unchanged Available
Demographic Questionnaire Form Modified Available
NIOSH Model Informed Consent Form Form and Instruction Modified Available
Section A_MinerFirst 14SEP2015.docx Supporting Statement A Uploaded 2015-10-01 Available
60 Day FRN 2015-13799.pdf Supplementary Document Uploaded 2015-09-29 Available
Appendix T_IRB Approval.pdf Supplementary Document Uploaded 2015-09-29 Available
Attachment A -(MINER ACT).pdf Supplementary Document Uploaded 2015-09-29 Available
SectionB_MinerFirst 14SEP2015.docx Supporting Statement B Uploaded 2015-09-23 Available
Preference Questionnaire - Non-substantive Change Request_submitted.docx Justification for No Material/Nonsubstantive Change Uploaded 2014-03-11 Available
Appendix P_Vest Usability Protocol.doc Supplementary Document Uploaded 2013-06-14 Available
Appendix O_Direct Observation_Protocol.doc Supplementary Document Uploaded 2013-06-14 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
207528 Lab Experiments Other-Protocol for Task and Cognitive Task Analysis and Informat Unchanged
207527 Focus Groups Other-Protocol for Task and Cognitive Task Analysis and Informat Unchanged
207526 Vest Usability Testing Form and Instruction UnchangedVest Usability Testing
207526 Vest Usability Testing Form and Instruction UnchangedField Evaluation Informed Consent
207525 Roof Bolter Questionnaire Form and Instruction UnchangedRoof Bolter Questionnaire
207524 Safety Director Questionnaire Form and Instruction UnchangedSafety Director Questionnaire
207523 Subject Matter Expert Questionnaire Form and Instruction ModifiedSubject Matter Expert Questionnaire
207522 General Preference Questionnaire Form and Instruction ModifiedGeneral Preference Questionnaire
207522 General Preference Questionnaire Other-WORD Modified
207521 Direct Observation: Fire Boss Form ModifiedDirect Observation: Fire Boss
207520 Direct Observation: Continuous Miner Operator Form RemovedDirect Observation: Continuous Miner Operator
207520 Direct Observation: Continuous Miner Operator Form and Instruction RemovedInformed Consent
207519 Task and Cognitive Task Analysis: Fire Boss Form UnchangedTask and Cognitive Task Analysis: Fire Boss
207518 Task and Cognitive Task Analysis: Continuous Miner Form UnchangedTask and Cognitive Task Analysis: Continuous Miner
207517 Demographic Questionnaire Form ModifiedDemographic Questionnaire
207516 Talent Waiver Other-Consent and Waiver Modified
207515 NIOSH Model Informed Consent Form Form and Instruction ModifiedNIOSH Model Informed Consent Form

ICR Details

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  Inventory as of this Action Requested Previously Approved
36 Months From Approved 08/31/2015
0 0 10
0 0 40
0 0 0





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IC Title Form No. Form Name
Demographic Questionnaire None
Direct Observation: Continuous Miner Operator None, None ,  
Direct Observation: Fire Boss None
Focus Groups
General Preference Questionnaire None
Lab Experiments
NIOSH Model Informed Consent Form None
Roof Bolter Questionnaire None
Safety Director Questionnaire None
Subject Matter Expert Questionnaire None
Talent Waiver
Task and Cognitive Task Analysis: Continuous Miner None
Task and Cognitive Task Analysis: Fire Boss None
Vest Usability Testing None, None ,  



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  No