Noise and Hearing Questionnaire

[NIOSH] Noise Exposures and Hearing Loss in the Oil and Gas Extraction Industry

OMB: 0920-1416

IC ID: 261723

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form
Form
Information Collection (IC) Details

View Information Collection (IC)

Noise and Hearing Questionnaire 0920-25-0022
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-22DI Attachment C_Noise_and_Hearing_Questionnaire Attachment C_Noise_and_Hearing_Questionnaire.docx Yes Yes Fillable Fileable
Form 0920-25-0022 Attachment C_Noise_and_Hearing_Questionnaire_amended Feb 2025 Attachment C_Noise_and_Hearing_Questionnaire_amended Feb 2025.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

167 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 167 0 0 0 0 167
Annual IC Time Burden (Hours) 47 0 0 0 0 47
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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