[NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form 0920-23HM SMEInterview Guide	Form	Unchanged	Available
Form 0920-23HM SME Interview Guide	Form	Unchanged	Repair queued
Form 0920-23HM HSE Interview Guide	Form	Unchanged	Available
Form 0920-23HM Health and Safety Lead Interview Guide	Form	Unchanged	Repair queued
Form 0920-23HM Manager Interview Guide	Form and Instruction	Unchanged	Available
Form 0920-23HM Manager Interview Guide	Form and Instruction	Unchanged	Repair queued
Form 0920-23HM Worker Interview Guide_Spanish	Form	Unchanged	Available
Form 0920-23HM Worker Interview Guide	Form	Unchanged	Available
Form 0920-23HM Worker Interview Guide	Form	Unchanged	Repair queued
Form 0920-23HM Actigraphy_Spanish	Form	Unchanged	Available
Form 0920-23HM Actigraphy	Form	Unchanged	Available
Form 0920-23HM Actigraphy*	Form	Unchanged	Repair queued
Form 0920-23HM Daily Post-Shift Questionnaires_Spanish	Form	Unchanged	Available
Form 0920-23HM Daily Post-Shift Questionnaires	Form	Unchanged	Available
Form 0920-23HM Daily Post-Shift Questionnaires	Form	Unchanged	Missing upstream
Form 0920-23HM Daily Pre-Shift Questionnaires_Spanish	Form	Unchanged	Available
Form 0920-23HM Daily Pre-Shift Questionnaires	Form	Unchanged	Available
Form 0920-23HM Daily Pre-Shift Questionnaires	Form	Unchanged	Repair queued
Form 0920-25-0041 Baseline Questionnaire	Form	Modified	Available
Form 0920-25-0041 Baseline Questionnaire	Form	Modified	Available
Form 0920-25-0041 Baseline Questionnaire	Form	Modified	Missing upstream
OMB Control No 0920-1436_Change Request form EO 14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-13	Available
OMB Control No 0920-1436_Change Request form EO 14168.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-03-13	Repair queued
Attachment 8 - Field data collection log.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 8 - Field data collection log.docx	Supplementary Document	Uploaded 2024-03-27	Missing upstream
Attachment 7d - Consent form_Aim 2 and 3 - ES.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 7d - Consent form_Aim 2 and 3 - ES.docx	Supplementary Document	Uploaded 2024-03-27	Missing upstream
Attachment 7c - Consent form_Aim 2 and 3.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 7c - Consent form_Aim 2 and 3.docx	Supplementary Document	Uploaded 2024-03-27	Repair queued
Attachment 7b - Consent form_Aim 1 -ES.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 7b - Consent form_Aim 1 -ES.docx	Supplementary Document	Uploaded 2024-03-27	Missing upstream
Attachment 7a - Consent form_Aim 1.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 7a - Consent form_Aim 1.docx	Supplementary Document	Uploaded 2024-03-27	Repair queued
Attachment 6c - Recruitment Flyer_Fatigue OGE - ES.pdf	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 6c - Recruitment Flyer_Fatigue OGE - ES.pdf	Supplementary Document	Uploaded 2024-03-27	Repair queued
Attachment 6b - Recruitment Flyer_Fatigue OGE.pdf	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 6b - Recruitment Flyer_Fatigue OGE.pdf	Supplementary Document	Uploaded 2024-03-27	Missing upstream
Attachment 6a - Recruitment letter to companies.docx	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 6a - Recruitment letter to companies.docx	Supplementary Document	Uploaded 2024-03-27	Repair queued
Attachment 9 - IRB Approval.pdf	Supplementary Document	Uploaded 2024-03-27	Available
Attachment 9 - IRB Approval.pdf	Supplementary Document	Uploaded 2024-03-27	Missing upstream
Attachment 1 - OSH Act of 1970.pdf	Supplementary Document	Uploaded 2024-03-25	Available
Attachment 1 - OSH Act of 1970.pdf	Supplementary Document	Uploaded 2024-03-25	Repair queued
Statement B_Fatigue in OGE.docx	Supporting Statement B	Uploaded 2024-03-25	Available
Statement B_Fatigue in OGE.docx	Supporting Statement B	Uploaded 2024-03-25	Missing upstream
Statement A_Fatigue in OGE.docx	Supporting Statement A	Uploaded 2024-03-25	Available
Statement A_Fatigue in OGE.docx	Supporting Statement A	Uploaded 2024-03-25	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
266355	SME Interview Guide	Form	Unchanged	SMEInterview Guide
266355	SME Interview Guide	Form	Unchanged
266354	Health and Safety Lead Interview Guide	Form	Unchanged	HSE Interview Guide
266354	Health and Safety Lead Interview Guide	Form	Unchanged
266353	Manager Interview Guide	Form and Instruction	Unchanged	Manager Interview Guide
266353	Manager Interview Guide	Form and Instruction	Unchanged
266352	Worker Interview Guide	Form	Unchanged	Worker Interview Guide_Spanish
266352	Worker Interview Guide	Form	Unchanged	Worker Interview Guide
266352	Worker Interview Guide	Form	Unchanged
266351	Actigraphy*	Form	Unchanged	Actigraphy_Spanish
266351	Actigraphy*	Form	Unchanged	Actigraphy
266351	Actigraphy*	Form	Unchanged
266350	Psychomotor Vigilance Test (PVT) – no form	Other-No Form for this item	Unchanged
266349	Daily Post-Shift Questionnaires	Form	Unchanged	Daily Post-Shift Questionnaires_Spanish
266349	Daily Post-Shift Questionnaires	Form	Unchanged	Daily Post-Shift Questionnaires
266349	Daily Post-Shift Questionnaires	Form	Unchanged
266348	Daily Pre-Shift Questionnaires	Form	Unchanged	Daily Pre-Shift Questionnaires_Spanish
266348	Daily Pre-Shift Questionnaires	Form	Unchanged	Daily Pre-Shift Questionnaires
266348	Daily Pre-Shift Questionnaires	Form	Unchanged
266347	Baseline Questionnaire	Form	Modified	Baseline Questionnaire
266347	Baseline Questionnaire	Form	Modified	Baseline Questionnaire
266347	Baseline Questionnaire	Form	Modified

ICR Details

OMB Control No: 0920-1436	ICR Reference No: 202503-0920-018
Status: Active	Previous ICR Reference No: 202403-0920-015
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-25-0041
Title: [NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  Yes
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/11/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/28/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2027	06/30/2027	06/30/2027
Responses	4,690	0	4,690
Time Burden (Hours)	404	0	404
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection request (ICR) facilitates agency initiation and conduct of the investigation of fatigue and fatigue management in land-based Oil and Gas Extraction (OGE) workers in the United States. Collection of information may help a) identify occupational and non-occupational determinants of fatigue in OGE workers; b) identify worker and organizational factors to consider when developing and implementing fatigue management strategies in the OGE industry; and c) describe how fatigue mitigation strategies are currently being used in the onshore OGE industry.

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Authorizing Statute(s): PL: Pub.L. 91 - 596 29 USC 669 Name of Law: OSHA Act 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:
	88 FR 56831	08/01/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 20477	03/22/2024
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 9

table that charts list of burden

IC Title	Form No.	Form Name
Actigraphy*	0920-23HM, 0920-23HM	Actigraphy ,   Actigraphy_Spanish
Baseline Questionnaire	0920-25-0041, 0920-25-0041	Baseline Questionnaire ,   Baseline Questionnaire
Daily Post-Shift Questionnaires	0920-23HM, 0920-23HM	Daily Post-Shift Questionnaires ,   Daily Post-Shift Questionnaires_Spanish
Daily Pre-Shift Questionnaires	0920-23HM, 0920-23HM	Daily Pre-Shift Questionnaires ,   Daily Pre-Shift Questionnaires_Spanish
Health and Safety Lead Interview Guide	0920-23HM	HSE Interview Guide
Manager Interview Guide	0920-23HM	Manager Interview Guide
Psychomotor Vigilance Test (PVT) – no form
SME Interview Guide	0920-23HM	SMEInterview Guide
Worker Interview Guide	0920-23HM, 0920-23HM	Worker Interview Guide ,   Worker Interview Guide_Spanish

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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	4,690	4,690	0	0	0	0
Annual Time Burden (Hours)	404	404	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:

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Annual Cost to Federal Government: $180,153

Does this IC contain surveys, censuses, or employ statistical methods? No

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.     No

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.     No

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:  Yes

Description/Changes for Common Form Usage: 

Approved RCFs using this ICR

table that charts list of RCF

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 03/28/2025

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