Request for Non-substantive Change
Assessing the Impact of Organizational and Personal Antecedents on Proactive Health/Safety Decision
OMB Approval #0920-1104 – Expiration date 02/28/2019
Justification for Non-substantive change:
We are requesting a change request for an error pertaining to the NOA for 0920-1104 which displays a decrease in the burden hours for this ICR which was approved on 02/24/2016. The information in the NOA does not align with the burden table that was included in the original Supporting Statement which was approved by OMB. Below is the original table that was submitted to OMB along with the information that appears in the attached NOA.
We request that the NOA be updated to reflect the burden hours that appear in the approved ICR.
Burden table submitted to OMB:
Type of Respondent |
Form Name |
No. of Respondents |
No. Responses per Respondent |
Average Burden per Response (in hours) |
|
Mine Safety/Health Operator |
Mine Recruitment Script |
8 |
1 |
15/60 |
2 |
Mine Employee |
Mine Worker Oral Consent Script |
600 |
1 |
5/60 |
50 |
Mine Worker Survey |
600 |
1 |
15/60 |
150 |
|
Total |
202 |
||||
The Notice of Action:
Number of Responses: 810
Number of Hours: 134
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | CDC User |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |