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Practicing Ergonomist Survey of Tools and Methods
Survey of Musculoskeletal Disorders Prevention Tools/Methods: 10 Year Follow-up
OMB: 0920-1177
IC ID: 223616
OMB.report
HHS/CDC
OMB 0920-1177
ICR 201609-0920-013
IC 223616
( )
Documents and Forms
Document Name
Document Type
Practicing Ergonomist Survey of Tools and Methods
Form
Egonomist Survey of Tools and Methods
Att. D - Questionnaire.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Practicing Ergonomist Survey of Tools and Methods
Agency IC Tracking Number:
16AMV
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
none
Egonomist Survey of Tools and Methods
Att. D - Questionnaire.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
938
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
938
0
938
0
0
0
Annual IC Time Burden (Hours)
469
0
469
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.