Att 9 Pre- and Post-Test Session Participant Questionnaire and Examination

[NIOSH] Information Collection Provisions in 42 CFR Part 84 - Tests and Requirements for Certification and Approval of Respiratory Protective Devices

OMB: 0920-0109

IC ID: 263389

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Form
Form
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Information Collection (IC) Details

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Att 9 Pre- and Post-Test Session Participant Questionnaire and Examination 0920-0109
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-0109 Pre- and Post-Test Session Participant Questionnaire and Examination Atch_9_Questionnaire.pdf Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

40 0
   
Individuals or Households
 
   100 %

  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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 10 0 0 0 0 10
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Consent Form Atch_9a_InformedConsentForm.docx 11/14/2023
Consent to be in a NIOSH Study_18OCT2024 Atch_9_InformedConsentForm (Clean).docx 10/18/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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