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Survey _Registered Behavior Technicians (RBT)
A Baseline of Injury and Psychosocial Stress for Applied Behavior Analysis Workers
OMB: 0920-1395
IC ID: 254036
OMB.report
HHS/CDC
OMB 0920-1395
ICR 202206-0920-004
IC 254036
( )
Documents and Forms
Document Name
Document Type
Form 0920
Survey _Registered Behavior Technicians (RBT)
Form and Instruction
0920 Survey
Attachment C. Survey Instrument.docx
Form and Instruction
0920 Survey
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
View Information Collection (IC)
IC Title:
Survey _Registered Behavior Technicians (RBT)
Agency IC Tracking Number:
0920-21EX
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
Attachment C. Survey Instrument 4.24.23_Final.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
15,360
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
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
15,360
0
6,720
8,640
0
0
Annual IC Time Burden (Hours)
2,560
0
1,120
1,440
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
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.