Att D_Sample HHE Specific Worker Interview

Health Hazard Evaluations/Technical Assistance and Emerging Problems

OMB: 0920-0260

IC ID: 185719

Information Collection (IC) Details

View Information Collection (IC)

Att D_Sample HHE Specific Worker Interview 0920-0260
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0260 HHE Specific Worker Interview - example Attachment D.docx No   Paper Only

Health Illness Prevention

Occupational Health Epidemiological Studies  76 FR 34706

1,470 1,200
   
Private Sector Businesses or other for-profits, Farms, Not-for-profit institutions
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,470 0 -1,110 0 0 2,580
Annual IC Time Burden (Hours) 368 0 -277 0 0 645
Annual IC Cost Burden (Dollars) 12,554 0 -9,479 0 0 22,033

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.

© 2024 OMB.report | Privacy Policy