Information Collection Request
[NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey
ICR 202403-0920-001 · OMB 0920-1373 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-1373 Company Officers |
Form and Instruction | Unchanged | Available |
| Form 0920-1373 Company Officers |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-1373 Fire Chiefs |
Form and Instruction | Unchanged | Available |
| Form 0920-1373 Fire Chiefs |
Form and Instruction | Unchanged | Repair queued |
| Form 0920-1373 Firefighters |
Form and Instruction | Unchanged | Available |
| Form 0920-1373 Firefighters |
Form and Instruction | Unchanged | Repair queued |
 Request for Nonsubstantive Change 3_4_24.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-06 | Available |
| Request for Nonsubstantive Change 3_4_24.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-03-06 | Repair queued |
| Updated Att8. FFFIPP Survey Reminder.docx |
Supplementary Document | Uploaded 2024-03-06 | Available |
| Updated Att8. FFFIPP Survey Reminder.docx |
Supplementary Document | Uploaded 2024-03-06 | Repair queued |
| Att9. FFFIPP Sampling Plan.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att9. FFFIPP Sampling Plan.docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
 Att10. Recruitment Dissemination Plan.pptx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att10. Recruitment Dissemination Plan.pptx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| Att8. FFFIPP Survey Reminder.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att8. FFFIPP Survey Reminder.docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
 Att7.IRB Determination.pdf |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att7.IRB Determination.pdf |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| Att6. Data Confidentiality.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att6. Data Confidentiality.docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| Att5. Survey Invitation.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att5. Survey Invitation.docx |
Supplementary Document | Uploaded 2023-10-31 | Missing upstream |
| Att4. FFFIPP Survey Invite-Email .docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att4. FFFIPP Survey Invite-Email .docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att3. Invite-Phone Script .docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att3. Invite-Phone Script .docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| Att2a. Survey Screenshot.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att2a. Survey Screenshot.docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| Att1. Authorizing legislation.docx |
Supplementary Document | Uploaded 2023-10-31 | Available |
| Att1. Authorizing legislation.docx |
Supplementary Document | Uploaded 2023-10-31 | Repair queued |
| NIOSH FFFIPP OMB_Statement B_090823.docx |
Supporting Statement B | Uploaded 2023-10-31 | Available |
| NIOSH FFFIPP OMB_Statement B_090823.docx |
Supporting Statement B | Uploaded 2023-10-31 | Repair queued |
| NIOSH FFFIPP OMB_Statement A_090823.docx |
Supporting Statement A | Uploaded 2023-10-31 | Available |
| NIOSH FFFIPP OMB_Statement A_090823.docx |
Supporting Statement A | Uploaded 2023-10-31 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 254853 |  Company Officers |
Form and Instruction | Unchanged | |
| 254853 | Company Officers |
Form and Instruction | Unchanged | |
| 254852 | Fire Chiefs |
Form and Instruction | Unchanged | |
| 254852 | Fire Chiefs |
Form and Instruction | Unchanged | |
| 254851 | Firefighters |
Form and Instruction | Unchanged | |
| 254851 | Firefighters |
Form and Instruction | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1373 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202310-0920-015 |
| Agency Tracking No | 0920-1373-24DN |
| Date Submitted to OIRA | 2024-03-06 |
| Requested Expiration Date | 1969-12-31 |