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

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 271778

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Form and Instruction
Form and Instruction
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Form and Instruction
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[NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees 0920-1154-25AA
 
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 (24AA) Questionnaire120424 updated.docx Yes Yes Fillable Fileable
Form 0920-1154 (24AA) Nail Salon Exposure Study Questionnaire Feedback Form FeedbackForm040224.docx Yes Yes Fillable Fileable

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 (24AA) Supporting Statement A updated.docx 12/06/2024
SSB (24AA) Supporting Statement B.docx 10/22/2024
Authorizing Legislation Attmt I- Authorizing Legislation.docx 10/22/2024
IRB Determination (24AA) Attachment 4- IRB Determination.docx 10/22/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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