Information Collection

Survey for Occupational health and safety specialists

IC 227289 under ICR 201908-0920-009 · OMB 0920-1202.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1202 NIOSH Nanomaterials Survey Survey for Occupational health and safety specialists	Form
0920-1202 NIOSH Nanomaterials Survey Att 8_Nano Survey.docx	Form

IC Title:

Agency IC Tracking Number:

0920-1202

Is this a Common Form? No

IC Status: Modified

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	0920-1202				Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	33	33
Annual IC Cost Burden (Dollars)	1,150	1,150

Documents for IC

table that charts IC Documents
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.

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