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Sleep Activity Diary
Online Training for Law Enforcement to Reduce Risks Associated with Shift Work and Long Work Hours
OMB: 0920-1278
IC ID: 236930
OMB.report
HHS/CDC
OMB 0920-1278
ICR 202012-0920-008
IC 236930
( )
Documents and Forms
Document Name
Document Type
Sleep Activity Diary
Form and Instruction
C1 - Sleep diary
Appendix C- surveys and diaries (1).docx
Form and Instruction
C1 - Sleep diary
Appendix C- surveys and diaries (1).docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Sleep Activity Diary
Agency IC Tracking Number:
0920-1278
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 and Instruction
na
C1 - Sleep diary
Appendix C- surveys and diaries (1).docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Training and Employment
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
60
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
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
5,040
0
0
0
5,040
0
Annual IC Time Burden (Hours)
84
0
0
0
84
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
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.