Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-1202 NIOSH Nanomaterials Survey	Form	Modified	Available
Form 0920-1202 NIOSH Nanomaterials Survey	Form	Modified	Available
Form 0920-1202 NIOSH Nanomaterials Survey	Form	Modified	Available
Form 0920-1202 Nano Survey	Form and Instruction	Modified	Available
30dy published FRN.pdf	Supplementary Document	Uploaded 2019-09-19	Available
Att 10_FAQs.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 9_LinkedIn message RTI.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 7_IRB Determination.pdf	Supplementary Document	Uploaded 2019-08-27	Available
SSA_0920-1202_080820.doc	Supporting Statement A	Uploaded 2019-08-27	Available
Att 6_Reminder #2 Non Respondents.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 5_Reminder #1 Non-Respondents.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 4a_Survey Invitation.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 4_Survey Intro.docx	Supplementary Document	Uploaded 2019-08-27	Available
Att 2_Published 60dy FRN.pdf	Supplementary Document	Uploaded 2019-08-27	Available
Att 1_ Autho Leg.docx	Supplementary Document	Uploaded 2019-08-27	Available
SSB.v11.doc	Supporting Statement B	Uploaded 2019-08-27	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
227291	Survey for Natural sciences managers	Form	Modified	NIOSH Nanomaterials Survey
227290	Survey for Industrial production managers	Form	Modified	NIOSH Nanomaterials Survey
227289	Survey for Occupational health and safety specialists	Form	Modified	NIOSH Nanomaterials Survey
227288	Pre-call Telephone Script	Form and Instruction	Modified	Nano Survey

ICR Details

OMB Control No: 0920-1202	ICR Reference No: 201908-0920-009
Status: Historical Active	Previous ICR Reference No: 201706-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-19ACC
Title: Survey of Engineered Nanomaterial Occupational Safety and Health Practices
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/23/2020
Retrieve Notice of Action (NOA)	Date Received in OIRA: 09/19/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2023	36 Months From Approved	03/31/2020
Responses	550	0	550
Time Burden (Hours)	108	0	108
Cost Burden (Dollars)	4,381	0	4,381

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Abstract: This data collection will be used to describe how companies handle engineered nanomaterials, the types of engineered nanomaterials used, safety and health practices related to engineered nanomaterials, and to examine NIOSH's contributions to worker general and engineered nanomaterials-specific safety and health practices. The current survey has been revised to account for non-substantive changes to the data collection instrument as well as a new contractor..

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Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupational Safety and Health 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:
	84 FR 16865	04/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	84 FR 47958	09/11/2019
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
Pre-call Telephone Script	0920-1202	Nano Survey
Survey for Industrial production managers	0920-1202	NIOSH Nanomaterials Survey
Survey for Natural sciences managers	0920-1202	NIOSH Nanomaterials Survey
Survey for Occupational health and safety specialists	0920-1202	NIOSH Nanomaterials Survey

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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	550	550	0	0	0	0
Annual Time Burden (Hours)	108	108	0	0	0	0
Annual Cost Burden (Dollars)	4,381	4,381	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $186,855

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.     Yes

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: 09/19/2019

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