Information Collection

NIOSH Thermal Spray Coating Project Workplace Survey

IC 265800 under ICR 202406-0920-006 · OMB 0920-1434.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NIOSH Thermal Spray Coating Project Workplace Survey	Form and Instruction
NIOSH Thermal Spray Coating Project Workplace Survey Att.3-TSC Workplace survey_Modified_Cleaned version.docx	Form and Instruction
NIOSH Thermal Spray Coating Project Workplace Survey Att.3-TSC Workplace survey_Modified_Cleaned version.docx	Form and Instruction
Att.4-screen capture of TS survey.docx CDC/NIOSH Thermal Spray Coating Project Workplace Survey (screenshot)	IC Document
Att.4-screen capture of TS survey.docx CDC/NIOSH Thermal Spray Coating Project Workplace Survey (screenshot)	IC Document

IC Title:

Agency IC Tracking Number:

0920-23HD

Is this a Common Form? No

IC Status: Modified

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	n/a	NIOSH Thermal Spray Coating Project Workplace Survey	Att.3-TSC Workplace survey_Modified_Cleaned version.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	Previously Approved
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.4-screen capture of TS survey.docx	06/25/2024

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