Information Collection Request

[NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel

ICR 202410-0920-008 · OMB 0920-1449 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1449 can be found here:

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form 0920-24AL Post-shift Questionnaire	Form	New	Repair queued
Form 0920-24AL Baseline Questionnaire	Form	New	Repair queued
Form 0920-24AL Informed Consent	Form	New	Missing upstream
Form 0920-24AL Expression of Interest Form	Form	New	Repair queued
Att. 10–IRB Approval Letter.pdf	Supplementary Document	Uploaded 2024-10-07	Repair queued
Att. 9–Letters of Support.docx	Supplementary Document	Uploaded 2024-10-07	Repair queued
Att. 4–Recruitment Email.docx	Supplementary Document	Uploaded 2024-10-07	Repair queued
Att. 3–Study Recruitment Fact Sheet.docx	Supplementary Document	Uploaded 2024-10-07	Repair queued
Att. 2–60-day FRN.pdf	Supplementary Document	Uploaded 2024-10-07	Missing upstream
Att. 1–Authorizing Legislation.docx	Supplementary Document	Uploaded 2024-10-07	Missing upstream
Veterinary Surgical Smoke_SSB.docx	Supporting Statement B	Uploaded 2024-10-07	Missing upstream
Veterinary Surgical Smoke_SSA.docx	Supporting Statement A	Uploaded 2024-10-07	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
271430	Post-shift Questionnaire	Form	New
271429	Baseline Questionnaire	Form	New
271428	Informed Consent	Form	New
271427	Expression of Interest Form	Form	New

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1449
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-24AL
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31