[NIOSH] Perceptions, Experiences, and Maintenance of Respiratory Protection from Both an Individual User and Organizational Standpoint

Assessing Respirator Perceptions, Experiences, and Maintenance

Documents and Forms

Document Name Document Type
[NIOSH] Perceptions, Experiences, and Maintenance of Respiratory Protection from Both an Individual User and Organizational Standpoint Form and Instruction
Survey of Respirator Use and Practices 6. Survey Instrument_genIC Request_Field Evaluations_updated_final.docx Form and Instruction
5. Sampling scheme_genIC Request_SRUP.docx Sampling Scheme IC Document
7. Abt_mail_invitation.pdf Mail Invitation IC Document
8. NIOSH_reminder_mail.pdf NIOSH Reminder Email IC Document
9. Abt_reminder_mail.pdf Abt Reminder Email IC Document
10. SRUP_FAQs_v2.pdf SRUP FAQs IC Document
IRB_PRA Determination.pdf Research Determination IC Document
4. NPPTL genIC Request_Field Evaluations of Respirators_Request to Debit Hours --- final 10-31.docx GenIC Request Template IC Document

Information Collection (IC) Details

IC Title:	[NIOSH] Perceptions, Experiences, and Maintenance of Respiratory Protection from Both an Individual User and Organizational Standpoint	Agency IC Tracking Number:	0920-1378-24AC

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	n/a	Survey of Respirator Use and Practices	6. Survey Instrument_genIC Request_Field Evaluations_updated_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: 30,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30,000	30,000
Annual IC Time Burden (Hours)	11,100	11,100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Sampling Scheme	5. Sampling scheme_genIC Request_SRUP.docx	10/13/2023
Mail Invitation	7. Abt_mail_invitation.pdf	10/13/2023
NIOSH Reminder Email	8. NIOSH_reminder_mail.pdf	10/13/2023
Abt Reminder Email	9. Abt_reminder_mail.pdf	10/13/2023
SRUP FAQs	10. SRUP_FAQs_v2.pdf	10/13/2023
Research Determination	IRB_PRA Determination.pdf	10/13/2023
GenIC Request Template	4. NPPTL genIC Request_Field Evaluations of Respirators_Request to Debit Hours --- final 10-31.docx	10/31/2023

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