2019 Occupational Illness and Injury Prevention Survey (OD)

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

OMB: 0925-0648

IC ID: 234682

Information Collection (IC) Details

View Information Collection (IC)

2019 Occupational Illness and Injury Prevention Survey (OD)
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 ED DOHS OIIP Survey screenshot 121818-ED-DOHS OIIP Survey Printscreen 2019.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

3,500 0
   
Individuals or Households
 
   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 3,500 0 3,500 0 0 0
Annual IC Time Burden (Hours) 292 0 292 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
2019 Occupational Illness and Injury Prevention Survey fast track 010819-ED-DOHS IIPS PRA Request.doc 01/08/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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