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pdfAbt Associates
10 Fawcett St., Suite 5
Cambridge, MA 02138
OMB No. 0920-1378
Dear Employer:
Abt Associates is a research firm under contract to conduct the 2023 Survey of Respirator Use and Practices (SRUP) on behalf
of the National Institute for Occupational Safety and Health (NIOSH). Our job is to administer the survey and provide the
aggregate results to NIOSH.
Your company has been selected to participate in the 2023 SRUP. Your company may have also received an email about
completing this survey. Only one survey needs to be filled out for your company.
Complete the survey by {DATE} online at {URL} or use the QR code to access the survey website. Once you are at the website,
enter your PIN as it appears below. Then follow the instructions on the screen to begin the survey.
PIN: {PIN}
{QR CODE}
The online survey is optimized so that it can be completed using a mobile device. If you do not have access to the internet or
want to take the survey by phone, call us toll-free at XXX-XXX-XXXX and provide your PIN: {PIN}. You can call from 9:00 am to
midnight ET.
Who should complete this survey? Someone knowledgeable about the use of respirators by employees in your company
should complete the survey. If you think someone else in your company knows more about respirator usage than you do, please
pass the survey instructions on to them. Complete this survey even if no workers at your company use respirators.
Note: You may log onto the survey website using your PIN at any time during the collection period to make corrections to
your data.
Is this part of an enforcement effort? NO. This survey is conducted for research and development purposes regarding
NIOSH’s respirator approval program only. Participation by your company is voluntary and results will not be used in any type of
enforcement activity. All responses will remain confidential and will only be used for statistical purposes.
If you have questions, please contact our Survey Manager {NAME} at {PHONE NUMBER} or send an email to
[email protected]. If you would like to contact someone at NIOSH, please email [email protected].
Sincerely,
Jodi Walton
Abt Survey Lead
XXX-XXX-XXXX
This collection of information is voluntary and will be used to provide information on the number of companies and employees that use respirators, and
for what purposes. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0920-1378, Exp: 11/30/2025
File Type | application/pdf |
File Modified | 2023-09-13 |
File Created | 2023-08-23 |