Information Collection

Occupational Safety Resources (NIOSH)

IC 228603 under ICR 201611-0920-005 · OMB 0920-1158.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1158 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Occupational Safety Resources (NIOSH)	Form and Instruction
Occupational Safety Resources Interview Protocol Guide a CDC I-Catalyst Interview Guide _Questions NIOSH Occup. Safety.docx	Form and Instruction
ICatalyst Template- NIOSH Occup Safety Resources_10242017.docx I-Catalyst Template Occupational Safety Resources	IC Document
ICatalyst SS-A Team Occu Safety Resources_10242017.docx Supporting Statement A Occupational Safety Resources	IC Document

IC Title:

Occupational Safety Resources (NIOSH)

Agency IC Tracking Number:

0920-18AY

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Occupational Safety Resources Interview Protocol Guide and Questions	CDC I-Catalyst Interview Guide _Questions NIOSH Occup. Safety.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 50

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	50	50
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	1,073	1,073

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
I-Catalyst Template Occupational Safety Resources	ICatalyst Template- NIOSH Occup Safety Resources_10242017.docx	10/24/2017
Supporting Statement A Occupational Safety Resources	ICatalyst SS-A Team Occu Safety Resources_10242017.docx	10/24/2017

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