Information Collection

Formative Assessment of the Information Needs to Prevent Work-related Musculoskeletal Disorders and Falls among Aging Retail Workers

IC 236579 under ICR 201610-0920-009 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Protocol_older_retail_workers_rev_06172019_HK.docx	Other-Focus group guide
Protocol_younger_retail_workers_06_17_2019_HK.docx	Other-Focus group guide
Protocol_Retail_Employers_rev_06172019_HK.docx	Other-Focus group guide
GenICRequest_Focus groups_Retail workers_6.18.19.docx GenIC Request	IC Document
Statement A_6_17_2019_6.18.19.docx Supporting statement A	IC Document
Statement B_6_12_2019_HK.docx Supporting statement B	IC Document
DSI IRB_Nonresearch_Kaur_Aging retail workers_2019 June 6.pdf IRB determination	IC Document

IC Title:

Formative Assessment of the Information Needs to Prevent Work-related Musculoskeletal Disorders and Falls among Aging Retail Workers

Agency IC Tracking Number:

0920-1154-19BHB

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Focus group guide	Protocol_older_retail_workers_rev_06172019_HK.docx	Yes	No	Paper Only
Other-Focus group guide	Protocol_younger_retail_workers_06_17_2019_HK.docx	Yes	No	Paper Only
Other-Focus group guide	Protocol_Retail_Employers_rev_06172019_HK.docx	Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 54

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	54	54
Annual IC Time Burden (Hours)	81	81
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	GenICRequest_Focus groups_Retail workers_6.18.19.docx	06/20/2019
Supporting statement A	Statement A_6_17_2019_6.18.19.docx	06/20/2019
Supporting statement B	Statement B_6_12_2019_HK.docx	06/20/2019
IRB determination	DSI IRB_Nonresearch_Kaur_Aging retail workers_2019 June 6.pdf	06/20/2019

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.