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Federal forms, ICRs, and supporting documents

Information Collection

[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators

IC 272964 under ICR 202410-0920-024 · OMB 0920-1441.

Documents and Forms
Document Name
Document Type
Form and Instruction
Other-Installation_Removal of Wearab
Other-Installation_Removal of Wearab
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators 0920-1441-25BX
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1441 Informed Consent Attachment G_Informed Consent Form.docx N/A No   Fillable Fileable
Form and Instruction 0920-1441 Construction_Demolition Robot Experience Questionnaire Attachment B_ConstructionDemolition Robot Experience Questionnaire.docx N/A No   Fillable Fileable
Form and Instruction 0920-1441 Virtual Reality Sickness Questionnaire Attachment C_Virtual Reality Sickness Questionnaire.docx N/A No   Fillable Fileable
Other-Installation_Removal of Wearable Markers Wearable Markers_Study 1.docx N/A No   Fillable Fileable
Other-Installation_Removal of Wearable Markers Wearable Markers_Study 2.docx N/A No   Fillable Fileable
Form and Instruction 0920-1441 NASA Task Load Index Attachment D_NASA Task Load Index.docx N/A No   Fillable Fileable
Form and Instruction 0920-1441 Robot Trust Questionnaire Attachment E_Human-Robot Trust Questionnaire.docx N/A No   Fillable Fileable
Form and Instruction 0920-1441 Post-Test Questionnaire Attachment F_Post-Test Questionnaire.docx N/A No   Fillable Fileable

Health Consumer Health and Safety

 

1,052 0
   
Individuals or Households
 
   0 %

  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 2,104 0 2,104 0 0 0
Annual IC Time Burden (Hours) 250 0 250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
NIOSH Sampling Plan 2. NIOSH DSR genIC_Sampling Plan_VR Demolition Robots.docx 12/12/2024
Recruitment Flyer Attachment A_Recruitment Flyer.docx 12/12/2024
Record of Participation Attachment H_Record of Test Subject Participation.docx 12/12/2024
Research Determination Attachment I_23-NIOSH-11 041524 approval CamargoH.pdf 12/12/2024
Authorizing Legislation Attachment J_OSH Act 1970_Authorizing Legislation.pdf 12/12/2024
0920-1441 GenIC Request Template 1. NIOSH DSR genIC Request_VR Demolition Robots.docx 12/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.