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

A Baseline of Injury and Psychosocial Stress for Applied Behavior Analysis Workers

Documents and Forms

Document Name Document Type
Form 0920 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

Information Collection (IC) Details

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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920	Survey (A Baseline of Injury and Psychosocial Stress for Applied Behavior Analysis (ABA) Workers	Attachment C. Survey Instrument 4.24.23_Final.docx		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 %

	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

Title	Document	Date Uploaded
Atachment D_Recruitment Email	Attachment D. Recruitment Email.docx	06/06/2022
Attachment E_Survey Reminder Email	Attachment E. Survey Reminder Email 4.24.23_Final.docx	04/24/2023
Attachment F_Survey Advertisement	Attachment F. Survey Advertisement.docx	06/06/2022
Attachment G_Survey Items and Associated References	Attachment G. Survey Items and Associated Citations.docx	06/06/2022

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