Worker Interview Guide

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

Documents and Forms

Document Name Document Type
Form 0920-23HM Worker Interview Guide Form
0920-23HM Worker Interview Guide Attachment 5a - Worker_Focus Group_Guide_Fatigue OGE.docx Form
0920-23HM Worker Interview Guide Attachment 5a - Worker_Focus Group_Guide_Fatigue OGE.docx Form
0920-23HM Worker Interview Guide_Spanish Attachment 5b - Worker_Focus Group_Guide_Fatigue OGE - ES.docx Form
0920-23HM Worker Interview Guide_Spanish Attachment 5b - Worker_Focus Group_Guide_Fatigue OGE - ES.docx Form

Information Collection (IC) Details

IC Title:	Worker Interview Guide	Agency IC Tracking Number:	0920-23HM

Is this a Common Form? Yes		IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-23HM	Worker Interview Guide	Attachment 5a - Worker_Focus Group_Guide_Fatigue OGE.docx		Yes	Yes	Fillable Fileable
Form	0920-23HM	Worker Interview Guide_Spanish	Attachment 5b - Worker_Focus Group_Guide_Fatigue OGE - ES.docx		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 30	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	30	30
Annual IC Time Burden (Hours)	45	45
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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