Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-21AN Non-respondent Questionnaire	Form and Instruction	Unchanged	Repair queued
Form 0920-21AN CSA_Survey	Form and Instruction	Unchanged	Repair queued
Form 0920-21AN RBCD_Survey	Form and Instruction	Unchanged	Available
Form 0920-21AN Maintenance Technician_ Survey	Form and Instruction	Unchanged	Repair queued
Form 0920-21AN Pilot Survey	Form and Instruction	Unchanged	Repair queued
Form 0920-21AN Operator Survey	Form and Instruction	Unchanged	Available
Attachment 14_Script for Interviewers_operators.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 13_Script for Interviewers_workers.docx	Supplementary Document	Uploaded 2022-01-27	Missing upstream
Attachment 12. NIOSH email reminder_Operators 01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 11. NIOSH email reminder_Workers 01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 9_Survey Advertising Flyer.pdf	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 7b. NIOSH reminder postcard_workers_01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 7a. NIOSH reminder postcard_operators_01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Missing upstream
Attachment 6b.Workers Consent Form 01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 6a. NIOSH operators consent form 01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Available
Attachment 5b. Recruitment Letter_Workers_01.2022.docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Attachment 5a Recruitment Letter _Operators01.2022 .docx	Supplementary Document	Uploaded 2022-01-27	Repair queued
Request for Nonsubstantive Change #0920-1343_.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-01-27	Repair queued
Supporting Statement B.docx	Supporting Statement B	Uploaded 2021-03-25	Available
SSA 1.18.22.docx	Supporting Statement A	Uploaded 2022-01-27	Available
Privacy Act Checklist.docx	Supplementary Document	Uploaded 2021-03-25	Missing upstream
Attachment 9.pdf	Supplementary Document	Uploaded 2021-03-25	Repair queued
Attachment 8a.pdf	Supplementary Document	Uploaded 2021-03-25	Repair queued
Attachment 7a.docx	Supplementary Document	Uploaded 2021-03-25	Missing upstream
Attachment 6b.docx	Supplementary Document	Uploaded 2021-03-25	Missing upstream
Attachment 6a.docx	Supplementary Document	Uploaded 2021-03-25	Repair queued
Attachment 5b.docx	Supplementary Document	Uploaded 2021-03-25	Available
Attachment 5a.docx	Supplementary Document	Uploaded 2021-03-25	Missing upstream
Attachment 4.docx	Supplementary Document	Uploaded 2021-03-25	Repair queued
Attachment 1.docx	Supplementary Document	Uploaded 2021-03-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
246444	Non-respondent Questionnaire	Form and Instruction	Unchanged
246443	CSA_Survey	Form and Instruction	Unchanged
246442	RBCD_Survey	Form and Instruction	Unchanged
246441	Maintenance Technician_ Survey	Form and Instruction	Unchanged
246440	Pilot Survey	Form and Instruction	Unchanged
246439	Operator Survey	Form and Instruction	Unchanged

ICR Details

OMB Control No: 0920-1343	ICR Reference No: 202201-0920-018
Status: Received in OIRA	Previous ICR Reference No: 202103-0920-009
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-22BZ
Title: Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 01/27/2022

table that charts list comparision

	Requested	Previously Approved
Expiration Date	07/31/2023	07/31/2023
Responses	3,136	3,136
Time Burden (Hours)	774	774
Cost Burden (Dollars)	0	0

---

Abstract: The primary goal of this study is to collect information on injuries and illnesses among workers in the aviation industry in Alaska. Second, to provide information to identify risk factors for adverse illness and injury outcomes. Third, the survey will provide information to the Alaska aviation industry stakeholders to assist in identifying intervention strategies to mitigate identified and perceived safety and health needs and concerns, and provide information to the research community to allow generation of hypotheses and prioritize future research in health and safety topics in this workforce.

---

Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 82478	12/18/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 14918	03/19/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
CSA_Survey	0920-21AN	CSA_Survey
Maintenance Technician_ Survey	0920-21AN	Maintenance Technician_ Survey
Non-respondent Questionnaire	0920-21AN	Non-respondent Questionnaire
Operator Survey	0920-21AN	Operator Survey
Pilot Survey	0920-21AN	Pilot Survey
RBCD_Survey	0920-21AN	RBCD_Survey

---

ICR Summary of Burden

table that charts list of burden

	Total Request	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	3,136	3,136	0	0	0	0
Annual Time Burden (Hours)	774	774	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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

Burden Increase Due to:

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

Burden Reduction Due to:

Short Statement: The new collection aims to collect information on injuries and illness among workers in the aviation industry in Alaska. The request is for two years of approval and a total of 1,547 burden hours. Therefore the estimated annual burden hours are 774.

---

Annual Cost to Federal Government: $105,877

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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.     No

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

---

Common Form ICR:  Yes

Description/Changes for Common Form Usage:  NIOSH is requesting a non-substantive change request for 0920-1343 to add updated information to the informed consent, recruitment and reminder documents, and add a script for follow-up telephone calls. These changes are necessary as we have finalized telephone and email contact information for questions from operators and workers, the time to complete the surveys is added to the recruitment letters, and we have added an additional researcher who will be involved in the data collection, analysis, and reporting process.

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

---

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: 01/27/2022

---