Information Collection

NIOSH Thermal Spray Coating Project Workplace Survey

IC 265800 under ICR 202403-0920-002 · OMB 0920-1434.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1434 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-23HD NIOSH Thermal Spray Coating Project Workplace Survey	Form and Instruction
0920-23HD NIOSH Thermal Spray Coating Project Workplace Survey Att.3-TSC Workplace survey_rev.2024.docx	Form and Instruction
0920-23HD NIOSH Thermal Spray Coating Project Workplace Survey Att.3-TSC Workplace survey_rev.2024.docx	Form and Instruction
Att. 7 Online survey screen shots.docx CDC/NIOSH Thermal Spray Coating Project Workplace Survey (screenshot)	IC Document
Att. 7 Online survey screen shots.docx CDC/NIOSH Thermal Spray Coating Project Workplace Survey (screenshot)	IC Document

IC Title:

NIOSH Thermal Spray Coating Project Workplace Survey

Agency IC Tracking Number:

0920-23HD

Is this a Common Form? No

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	0920-23HD	NIOSH Thermal Spray Coating Project Workplace Survey	Att.3-TSC Workplace survey_rev.2024.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 5,000

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	5,000	5,000
Annual IC Time Burden (Hours)	1,667	1,667
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
CDC/NIOSH Thermal Spray Coating Project Workplace Survey (screenshot)	Att. 7 Online survey screen shots.docx	03/22/2024

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