[NOISH] Assessing Adoption and Implementation of the National Institute of Occupational Safety and Health’s (NIOSH) Outputs

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Survey: Assessing Human Factors in Fire Service Fatalities and Injuries	Form and Instruction	New	Repair queued
Attachment C - NIOSH genIC_Request to Debit Hours_0920-1450.docx	Supplementary Document	Uploaded 2024-12-05	Repair queued
Attachment C - NIOSH genIC_Request to Debit Hours_0920-1450.docx	Supplementary Document	Uploaded 2024-12-05	Repair queued
NIOSH genIC_Request to Debit Hours_ (25BT)_121924.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-20	Repair queued
Change request justification 0920-1450.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2024-12-05	Repair queued
Attachment D - Appendix A.docx	Supplementary Document	Uploaded 2024-10-04	Repair queued
Attachment D - Appendix A.docx	Supplementary Document	Uploaded 2024-10-04	Repair queued
2. Supporting Statement B_NIOSH GenIC_8.21.24.docx	Supporting Statement B	Uploaded 2024-10-04	Available
2. Supporting Statement B_NIOSH GenIC_8.21.24.docx	Supporting Statement B	Uploaded 2024-10-04	Available
1. Supporting Statement A_NIOSH GenIC_rev.10.31.24.docx	Supporting Statement A	Uploaded 2024-10-31	Available
1. Supporting Statement A_NIOSH GenIC_rev.10.31.24.docx	Supporting Statement A	Uploaded 2024-10-31	Repair queued
Attachment A - OSH Act 1970.pdf	Supplementary Document	Uploaded 2024-10-02	Available
Attachment A - OSH Act 1970.pdf	Supplementary Document	Uploaded 2024-10-02	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
280997	[NIOSH] Assessing Human Factors in Fire Service Fatalities and Injuries	Form and Instruction	New	Survey: Assessing Human Factors in Fire Service Fatalities and Injuries

ICR Details

OMB Control No: 0920-1450	ICR Reference No: 202412-0920-004
Status: Active	Previous ICR Reference No: 202410-0920-003
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-1450-25BT
Title: [NOISH] Assessing Adoption and Implementation of the National Institute of Occupational Safety and Health’s (NIOSH) Outputs
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 12/20/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 12/05/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2027	11/30/2027	11/30/2027
Responses	51,150	0	51,150
Time Burden (Hours)	18,207	0	18,207
Cost Burden (Dollars)	0	0	0

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Abstract: This request for a non-substantive change request for 0920-1450 is to use the “Request for genIC Approval” Form, when requesting to debit hours from the umbrella genIC package. This action will reduce redundancy and unnecessary complexity when adding an additional Supporting Statement A for each individual packages submitted. The Request for genIC Approval Form for 0920-1450 was initially submitted with the package as a form to Supporting Statement A but later removed to reduce extra work and redundancy. This current request is to add the genIC approval form back into the protocol in lieu of a full SSA, considering the Master SSA already includes the justification and need for the effort.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 2193 Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 54000	06/28/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 83503	10/16/2024
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
[NIOSH] Assessing Human Factors in Fire Service Fatalities and Injuries	n/a	Survey: Assessing Human Factors in Fire Service Fatalities and Injuries

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	51,150	51,150	0	0	0	0
Annual Time Burden (Hours)	18,207	18,207	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $82,091

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 12/05/2024

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