Survey for Occupational health and safety specialists

Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Documents and Forms

Document Name Document Type
Form 0920-1202 Survey for Occupational health and safety specialists Form
0920-1202 NIOSH Nanomaterials Survey Att 8_Nano Survey.docx Form

Information Collection (IC) Details

IC Title:	Survey for Occupational health and safety specialists	Agency IC Tracking Number:	0920-1202

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-1202	NIOSH Nanomaterials Survey	Att 8_Nano Survey.docx		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 %

	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

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.