Information Collection

Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)

IC 254035 under ICR 202502-0920-008 · OMB 0920-1395.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)	Form and Instruction
Survey (A Baseline of Injury and Psychosocial Stress for Applied Behavior Analysis (ABA) Workers Survey- Board Certified Behavior Analysts(BCBA, BCBA-d, and BCaBA)	Form and Instruction
Survey (A Baseline of Injury and Psychosocial Stress for Attachment C. Survey Instrument 2.25.25_Final.docx	Form and Instruction
Survey (A Baseline of Injury and Psychosocial Stress for Attachment C. Survey Instrument 2.25.25_Final.docx	Form and Instruction
Attachment D. Recruitment Email.docx Atachment D_Recruitment Email	IC Document
Attachment D. Recruitment Email.docx Atachment D_Recruitment Email	IC Document
Attachment E. Survey Reminder Email 4.24.23_Final.docx Attachment E_Survey Reminder Email	IC Document
Attachment E. Survey Reminder Email 4.24.23_Final.docx Attachment E_Survey Reminder Email	IC Document
Attachment F. Survey Advertisement.docx Attachment F_Survey Advertisement	IC Document
Attachment F. Survey Advertisement.docx Attachment F_Survey Advertisement	IC Document
Attachment G. Survey Items and Associated Citations.docx Attachment G_Survey Items and Associated References	IC Document
Attachment G. Survey Items and Associated Citations.docx Attachment G_Survey Items and Associated References	IC Document

IC Title:

Agency IC Tracking Number:

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				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 8,640

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	8,640	8,640
Annual IC Time Burden (Hours)	1,440	1,440
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Atachment D_Recruitment Email		06/06/2022
Attachment E_Survey Reminder Email		04/24/2023
Attachment F_Survey Advertisement		06/06/2022
Attachment G_Survey Items and Associated References		06/06/2022

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

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