Online Training for Law Enforcement to Reduce Risks Associated withShift Work and Long Work Hours

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920- Changes in Behaviors After the Training Program	Form and Instruction	New	Repair queued
Form 0920- Feedback About the Training, Barriers, and Influeuntial People	Form and Instruction	New	Available
Form 0920- Online Training	Form and Instruction	New	Available
Form 0920- Sleep Activity Diary	Form and Instruction	New	Repair queued
Form 0920- Demographics and Work Experience Survey	Form and Instruction	New	Repair queued
Form 0920- Pittsburgh Sleep Quality Index (App Ca_Sleep Activity Dairy Surveys)	Form and Instruction	New	Available
Form 0920- Epworth Sleepiness Scale Survey	Form and Instruction	New	Repair queued
Form 0920- Knowledge Survey	Form and Instruction	New	Repair queued
Form 0920- 10 minute Meeting	Form and Instruction	New	Available
Appendix K_PIA_.pdf	Supplementary Document	Uploaded 2019-07-18	Repair queued
Appendix I_Ltrs of Support.docx	Supplementary Document	Uploaded 2019-07-18	Available
Appendix J_IRB Determination.pdf	Supplementary Document	Uploaded 2019-07-18	Repair queued
Appendix B_Published 60dy FRN.pdf	Supplementary Document	Uploaded 2019-07-18	Available
Appendix A_ Autho Legislation.docx	Supplementary Document	Uploaded 2019-07-18	Repair queued
Supporting Statement B.docx	Supporting Statement B	Uploaded 2019-07-18	Available
Supporting Statement A.docx	Supporting Statement A	Uploaded 2019-07-23	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
236933	Changes in Behaviors After the Training Program	Form and Instruction	New
236932	Feedback About the Training, Barriers, and Influeuntial People	Form and Instruction	New
236931	Online Training	Form and Instruction	New
236930	Sleep Activity Diary	Form and Instruction	New
236929	Demographics and Work Experience Survey	Form and Instruction	New
236928	Pittsburgh Sleep Quality Index (App Ca_Sleep Activity Dairy Surveys)	Form and Instruction	New
236927	Epworth Sleepiness Scale Survey	Form and Instruction	New
236875	Knowledge Survey	Form and Instruction	New
236670	10 minute Meeting	Form and Instruction	New
236665	Inital Meeting (Fit Actigraph)	Instruction	New
236664	Law Enforcement Officer Recruitment and Informed Consent	Instruction	New

ICR Details

OMB Control No: 0920-1278	ICR Reference No: 201906-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17BBV
Title: Online Training for Law Enforcement to Reduce Risks Associated withShift Work and Long Work Hours
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/23/2019
	Date Received in OIRA: 07/23/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2020	12 Months From Approved
Responses	5,940	0	0
Time Burden (Hours)	334	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this project is to pilot test a new online training program for police that will relay the risks linked to shift work and long work hours and will give workplace strategies and personal strategies for the officers to reduce the risks. The pilot test will use a pretest, training intervention, posttest design to test the new online training in one group of 60 officers. These variables will be tested: 1) officers' sleep quality and quantity; 2) sleepiness; 3) knowledge; 4) changes in officers' behaviors.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 201(a)L1} Name of Law: Occupational Safety and Heath Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 63510	12/10/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 32923	07/10/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 11

table that charts list of burden

IC Title	Form No.	Form Name
Epworth Sleepiness Scale Survey	0920-	Appx C4_Epworth Sleepiness Scale
10 minute Meeting	0920-	Appx C1_Sleep Diary Activity
Online Training	0920-	NIOSH Training for Law Enforcement on Shift Work and Long Work Hours
Sleep Activity Diary	0920-	Appx C1_Confidential Sleep/Wake Diary
Demographics and Work Experience Survey	0920-	Appx C2_Demographics and Work Experience Survey
Knowledge Survey	0920-	Appx C3_Knowledge Survey
Law Enforcement Officer Recruitment and Informed Consent
Inital Meeting (Fit Actigraph)	0920-	Sleep Diary Activity
Pittsburgh Sleep Quality Index (App Ca_Sleep Activity Dairy Surveys)	0920-	Appx C5_Pittsburgh Sleep Quality Index Surveys
Feedback About the Training, Barriers, and Influeuntial People	0920-	Appx C6_Feedback About the Training, Barriers, and Infuential People
Changes in Behaviors After the Training Program	0920-	Appx C7_Change in Behaviors After the Training Program

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	5,940	0	0	5,940	0	0
Annual Time Burden (Hours)	334	0	0	334	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a NEW collection request for a new OMB Control Number.

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Annual Cost to Federal Government: $175,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 07/23/2019

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