Information Collection

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

IC 262770 under ICR 202210-0920-007 · OMB 0920-1378.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1378 can be found here:

Documents and Forms

Documents and forms in this information collection
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.