Inital Meeting (Fit Actigraph)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1278 can be found here:

Documents and Forms

Document Name Document Type
Appendix E_Informed Consent.docx Instruction
Appendix F_Recruitment Email.docx Instruction
0920- Sleep Diary Activity Appendix C1-7_Survey and Diary_(WORD).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Inital Meeting (Fit Actigraph)	Agency IC Tracking Number:	0920-17BBV

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	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Appendix E_Informed Consent.docx	Yes	No	Fillable Fileable Signable
Instruction			Appendix F_Recruitment Email.docx	No		Paper Only
Form and Instruction	0920-	Sleep Diary Activity	Appendix C1-7_Survey and Diary_(WORD).docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	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.