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Federal forms, ICRs, and supporting documents

Information Collection

Appx E -Pre-Shift Questionnaire on Heat Stress (App) Miners

IC 243135 under ICR 202310-0920-010 · OMB 0920-1331.

Documents and Forms
Document Name
Document Type
Other-App (WORD)
Other-App (WORD)
Information Collection (IC) Details

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Appx E -Pre-Shift Questionnaire on Heat Stress (App) Miners 0920-1331
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-App (WORD) Appendix E Heat stress app pre-shift questionnaire.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

30 0
   
Individuals or Households
 
   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 60 0 0 0 0 60
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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