Information Collection Request
[NIOSH] Evaluation of Healthcare Worker Mental Health Campaign
ICR 202404-0920-001 · OMB 0920-1415 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Hospital Leader - Follow-Up Survey |
Form and Instruction | Modified | Repair queued |
| Healthcare Worker - Follow-Up Survey |
Form and Instruction | Modified | Repair queued |
 0920-1415_Evaluation of Healthcare Worker Mental Health Campaign_Revision Justification.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2024-04-01 | Repair queued |
| 2b Responses to Federal Register Notice.docx |
Supplementary Document | Uploaded 2023-08-03 | Missing upstream |
| 6 Invitation and Reminder Emails.docx |
Supplementary Document | Uploaded 2023-08-03 | Repair queued |
 3 Non-Research Determination.pdf |
Supplementary Document | Uploaded 2023-08-03 | Repair queued |
| 2a Federal Register Notice.pdf |
Supplementary Document | Uploaded 2023-08-03 | Repair queued |
| 1b Dr. Lorna Breen Health Care Provider Protection Act.pdf |
Supplementary Document | Uploaded 2023-08-03 | Repair queued |
| 1a H.R.1319 American Rescue Plan Act of 2021.pdf |
Supplementary Document | Uploaded 2023-08-03 | Repair queued |
| Supporting Statement B_NIOSH Health Worker MH Campaign_2.16.23.docx |
Supporting Statement B | Uploaded 2023-08-03 | Repair queued |
| Supporting Statement A_NIOSH Health Worker MH Campaign_2.16.22.docx |
Supporting Statement A | Uploaded 2023-08-03 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 261471 |  Hospital Leader - Follow-Up Survey |
Form and Instruction | Modified | |
| 261470 | Healthcare Worker - Follow-Up Survey |
Form and Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1415 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202308-0920-003 |
| Agency Tracking No | 0920-1415-24EI |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |