Daily Pre-Shift Questionnaires

[NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction

OMB: 0920-1436

IC ID: 266348

Information Collection (IC) Details

View Information Collection (IC)

Daily Pre-Shift Questionnaires 0920-23HM
 
Yes New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-23HM Daily Pre-Shift Questionnaires Attachment 3c - Questionnaire_PreShift_Fatigue OGE.docx Yes Yes Fillable Fileable
Form 0920-23HM Daily Pre-Shift Questionnaires_Spanish Attachment 3d - Questionnaire_PreShift_Fatigue OGE- ES.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

80 0
   
Individuals or Households
 
   0 %

  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 1,120 0 1,120 0 0 0
Annual IC Time Burden (Hours) 56 0 56 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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