Request for Non-substantive Change
The National Firefighter Registry
OMB Approval # 0920-1348– Expiration date 09/30/2024
Justification for Non-substantive change:
NIOSH is requesting a non-substantive change request for 0920-1348 to account for updates in the data security process as directed by NIOSH ODIT, and minor wording edits suggested by subject matter experts. The changes do not affect the time burden or significant content, but rather the placement and ordering of information. These changes are necessary to move forward with data collection as planned, but also allow for secure web-portal development as directed by NIOSH ODIT.
Modifications include:
Updated PIA statement in SSA (Attachment 6)
Removal of employment information from user profile to accommodate NIOSH ODIT security standard
Addition of “what year did you stop working in the fire service” as a follow-up to work status question in user profile
Addition of “academy student” as an option for work status question in user profile
Addition of question 10 (education level) on questionnaire
Minor wording and organizational edits to work history section (question 18) to best accommodate the user experience designed by NIOSH ODIT development team
Informed Consent and Assurance of Confidentially language edits suggested by CDC Office of General Counsel
Further modifications include the order of the Health History and Lifestyle sections on the questionnaire as advised by a subject matter expert. The Lifestyle questions are now presented as the final section, preceded by Health History. Protective practice question (question 19) has been updated to allow for a response of “not applicable” and “I’ve always done this” instead of inputting a date as the only option. Also added to this collection request are recently developed recruitment materials (Attachments 9 & 10). In consultation with the NFR Federal Advisory Subcommittee, it was decided to only collect partial social security number; this change is reflected in the updated SSA. The data collection burden hours and costs will not be affected by these proposed changes.
Below is a list of the revised and new documents.
Existing documents being updated
Informed Consent (Attachment 3a)
User Profile (Attachment 3b)
Questionnaire (Attachment 3c)
Privacy Impact Assessment (Attachment 6)
Assurance of Confidentiality (Attachment 7)
New documents being added to the ICR
Fact Sheet (Attachment 4b)
Brochure (Attachment 4c)
Existing documents with no updates
Authorizing Legislation (Attachment 1)
60-day Federal Register Notice (Attachment 2)
NFR Protocol Version Cleared 10/20 (Attachment 3)
Invitation to Participate (Attachment 4a)
Request for Information (Attachment 5)
Non-Research (Surveillance) Determination (Attachment 8)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | CDC User |
File Modified | 0000-00-00 |
File Created | 2022-07-20 |