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[NIOSH] Assessment of Task-Based Exposures that may Affect Reproductive Health in Nail Salon Employees

IC 267350 under ICR 202503-0920-028 · OMB 0920-1154.

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Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form
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[NIOSH] Assessment of Task-Based Exposures that may Affect Reproductive Health in Nail Salon Employees 0920-1154-24FD
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1154 Nail Salon Exposure Study Questionnaire (24FD) Questionnaire040224_updated.docx Yes Yes Fillable Fileable
Form 0920-1154 Nail Salon Exposure Study Questionnaire Feedback Form (24FD) FeedbackForm040224.docx No   Paper Only

Workforce Management Worker Safety

 

12 0
   
Individuals or Households
 
   100 %

  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 12 0 0 0 0 12
Annual IC Time Burden (Hours) 6 0 0 0 0 6
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA (24FD) Supporting Statement A.docx 04/30/2024
SSB (24FD) Supporting Statement B.docx 04/30/2024
Authorizing Legislation Attmt I- Authorizing Legislation.docx 04/30/2024
Human Subjects Research Determination (24FD) Attachment 4- IRB Determination.docx 04/30/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.