Evaluation of the Effectiveness of the Training and Education Modules in the North American Fatigue Management Program

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Post-Study Questionnaire	Form and Instruction	New	Repair queued
Driver Post-Study Questionnaire	Form and Instruction	New	Repair queued
The Job Descriptive Index	Form and Instruction	New	Repair queued
Driver Job Descriptive Index	Form and Instruction	New	Repair queued
Safety Climate	Form and Instruction	New	Repair queued
Driver Safety Climate Questionnaire	Form and Instruction	New	Repair queued
Family Interactions	Form and Instruction	New	Repair queued
Driver Family Interactions Questionnaire	Form and Instruction	New	Repair queued
Short Form -36 Version 2 (SF-36v2)	Form and Instruction	New	Repair queued
Driver SF-36v2	Form and Instruction	New	Available
Exercise and Food Consumption Questionnaire	Form and Instruction	New	Repair queued
Driver Exercise and Food Consumption Questionnaire	Form and Instruction	New	Repair queued
Smartphone Questions	Form and Instruction	New	Repair queued
Driver Daily Smartphone Questions	Form and Instruction	New	Available
Background Questionnaire	Form and Instruction	New	Repair queued
Driver Background Questionnaire	Form and Instruction	New	Repair queued
Online Driver Application	Form and Instruction	New	Repair queued
Driver Application to Participate	Form and Instruction	New	Repair queued
Management Practices (Time Period 2)	Form and Instruction	New	Repair queued
Carrier Management Practices Questionnaire (Time 2)	Form and Instruction	New	Repair queued
Management Practices (Time Period 1)	Form and Instruction	New	Repair queued
Carrier Management Practices Questionnaire (Time 1)	Form and Instruction	New	Repair queued
Att. T Study Plan_Expanded_07282020.docx	Supplementary Document	Uploaded 2020-07-31	Repair queued
Att. H Informed Consent.pdf	Supplementary Document	Uploaded 2020-07-31	Repair queued
Att. D VT IRB-17-1087 Approval Letter.pdf	Supplementary Document	Uploaded 2020-07-31	Repair queued
Att. B 60 Day Federal Register Notice.pdf	Supplementary Document	Uploaded 2020-07-31	Repair queued
Att. A OSHA_1970.pdf	Supplementary Document	Uploaded 2020-07-31	Repair queued
NAFMP SSB_7.31.2020.docx	Supporting Statement B	Uploaded 2020-07-31	Repair queued
NAFMP SSA_7.31.2020.docx	Supporting Statement A	Uploaded 2020-07-31	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242914	Driver Phone Briefings	Other-Example of Phone Check-In Discussion	New
242913	Driver Post-Study Questionnaire	Form and Instruction	New	Post-Study Questionnaire
242913	Driver Post-Study Questionnaire	Form and Instruction	New
242912	Driver Job Descriptive Index	Form and Instruction	New	The Job Descriptive Index
242912	Driver Job Descriptive Index	Form and Instruction	New
242911	Driver Safety Climate Questionnaire	Form and Instruction	New	Safety Climate
242911	Driver Safety Climate Questionnaire	Form and Instruction	New
242910	Driver Family Interactions Questionnaire	Form and Instruction	New	Family Interactions
242910	Driver Family Interactions Questionnaire	Form and Instruction	New
242909	Driver SF-36v2	Form and Instruction	New	Short Form -36 Version 2 (SF-36v2)
242909	Driver SF-36v2	Form and Instruction	New
242908	Driver Exercise and Food Consumption Questionnaire	Form and Instruction	New	Exercise and Food Consumption Questionnaire
242908	Driver Exercise and Food Consumption Questionnaire	Form and Instruction	New
242907	Driver Psychomotor Vigiliance Test (PVT)	Instruction	New
242906	Driver Daily Smartphone Questions	Form and Instruction	New	Smartphone Questions
242906	Driver Daily Smartphone Questions	Form and Instruction	New
242905	Driver Background Questionnaire	Form and Instruction	New	Background Questionnaire
242905	Driver Background Questionnaire	Form and Instruction	New
242904	Driver Actigraph Training	Instruction	New
242903	Driver Application to Participate	Form and Instruction	New	Online Driver Application
242903	Driver Application to Participate	Form and Instruction	New
242901	Carrier Management Practices Questionnaire (Time 2)	Form and Instruction	New	Management Practices (Time Period 2)
242901	Carrier Management Practices Questionnaire (Time 2)	Form and Instruction	New
242900	Carrier Management Practices Questionnaire (Time 1)	Form and Instruction	New	Management Practices (Time Period 1)
242900	Carrier Management Practices Questionnaire (Time 1)	Form and Instruction	New
242899	Carrier Retrieval of Company Adminstrative Costs	Instruction	New
242898	Carrier Retrieval of Monthly Roadside Violations/Crash Reports	Instruction	New
242897	Carrier Participation Agreement	Other-Letter of Agreement	New

ICR Details

OMB Control No: 0920-1338	ICR Reference No: 202006-0920-016
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-20AZ
Title: Evaluation of the Effectiveness of the Training and Education Modules in the North American Fatigue Management Program
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/17/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/31/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2023	24 Months From Approved
Responses	132,575	0	0
Time Burden (Hours)	5,278	0	0
Cost Burden (Dollars)	113,807	0	0

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Abstract: The purpose of this data collection is to conduct a pilot evaluation of the effectiveness and cost benefit of the North American Fatigue Management Program (NAFMP) in increasing opportunities for sleep, proactive sleep-related work/personal behaviors, objective measures of sleep, and positive familial interactions. Fatigue management will also be assessed in terms of reduced missed work days, drowsiness while driving, and driving performance. Information will be collected from two commercial vehicle carriers and from a convenience sample of 180 (90 regional and 90 long-haul) commercial truck drivers employed by those carriers.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 20 Research and Related Activi Name of Law: Occupational Safety and Health Act of 1970
  

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 59383	11/04/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 53380	08/28/2020
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 17

table that charts list of burden

IC Title	Form No.	Form Name
Carrier Management Practices Questionnaire (Time 1)	n/a	Management Practices (Time Period 1)
Carrier Management Practices Questionnaire (Time 2)	n/a	Management Practices (Time Period 2)
Carrier Participation Agreement
Carrier Retrieval of Company Adminstrative Costs
Carrier Retrieval of Monthly Roadside Violations/Crash Reports
Driver Actigraph Training
Driver Application to Participate	n/a	Online Driver Application
Driver Background Questionnaire	n/a	Background Questionnaire
Driver Daily Smartphone Questions	n/a	Smartphone Questions
Driver Exercise and Food Consumption Questionnaire	n/a	Exercise and Food Consumption Questionnaire
Driver Family Interactions Questionnaire	n/a	Family Interactions
Driver Job Descriptive Index	n/a	The Job Descriptive Index
Driver Phone Briefings
Driver Post-Study Questionnaire	n/a	Post-Study Questionnaire
Driver Psychomotor Vigiliance Test (PVT)
Driver SF-36v2	n/a	Short Form -36 Version 2 (SF-36v2)
Driver Safety Climate Questionnaire	n/a	Safety Climate

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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	132,575	0	0	132,575	0	0
Annual Time Burden (Hours)	5,278	0	0	5,278	0	0
Annual Cost Burden (Dollars)	113,807	0	0	113,807	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: This is a new information collection.

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Annual Cost to Federal Government: $436,681

Does this IC contain surveys, censuses, or employ statistical methods? No

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? No

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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: 08/31/2020

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