Information Collection

Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)

IC 254035 under ICR 202206-0920-004 · OMB 0920-1395.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1395 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920 Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)	Form and Instruction
Form 0920 Survey (A Baseline of Injury and Psychosocial Stress for Applied Behavior Analysis (ABA) Workers Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)	Form and Instruction
0920 Survey Attachment C. Survey Instrument.docx	Form and Instruction
0920 Survey (A Baseline of Injury and Psychosocial Stress for Attachment C. Survey Instrument 4.24.23_Final.docx	Form and Instruction
Attachment D. Recruitment Email.docx Atachment D_Recruitment Email	IC Document
Attachment D. Recruitment Email.docx Atachment D_Recruitment Email	IC Document
Attachment E. Survey Reminder Email.docx Attachment E_Survey Reminder Email	IC Document
Attachment E. Survey Reminder Email 4.24.23_Final.docx Attachment E_Survey Reminder Email	IC Document
Attachment F. Survey Advertisement.docx Attachment F_Survey Advertisement	IC Document
Attachment F. Survey Advertisement.docx Attachment F_Survey Advertisement	IC Document
Attachment G. Survey Items and Associated Citations.docx Attachment G_Survey Items and Associated References	IC Document
Attachment G. Survey Items and Associated Citations.docx Attachment G_Survey Items and Associated References	IC Document

IC Title:

Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,640

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	8,640	8,640
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Atachment D_Recruitment Email		06/06/2022
Attachment E_Survey Reminder Email		04/24/2023
Attachment F_Survey Advertisement		06/06/2022
Attachment G_Survey Items and Associated References		06/06/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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