[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 261054

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

View Information Collection (IC)

[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations 0920-1154-23GV
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Focus Group Guide for Employers/Supervisors Attmt B- Focus Group Guide for Employers_Supervisors.docx Yes No Fillable Fileable
Form and Instruction n/a Focus Group Guide for Employees - English/Spanish Attmt C_ Focus Group Guide for Employees_English and Spanish 7-13-23.docx Yes No Fillable Fileable
Form and Instruction n/a Training for Employers - Pre-test Attmt D- Training for Employers Pre Test Questions.docx Yes Yes Fillable Fileable
Form and Instruction n/a Training for Employers - Post-test Attmt E- Training for Employers Post test Questions.docx Yes Yes Fillable Fileable
Other-Consent Attmt G-Recruitment_Consent_Form_English_Spanish 7-13-2023.docx Yes No Fillable Fileable

Workforce Management Worker Safety

 

504 0
   
Individuals or Households
 
   26 %

  Requested 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 504 0 0 0 0 504
Annual IC Time Burden (Hours) 539 0 0 0 0 539
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation Attmt A- Authorizing Legislation.docx 07/17/2023
Human Subjects Determination Attmt F- IRB determination.pdf 07/17/2023
SSA Supporting Statement A_final.docx 07/17/2023
SSB Supporting Statement B_Heat_Jacklitsch.docx 07/17/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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