Information Collection

Occupational Questionnaires

IC 216968 under ICR 202504-0920-004 · OMB 0920-0010.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Occupational Questionnaires	Form and Instruction
Agriculture_Screenshots_English Occupational Questionnaires	Form and Instruction
Agriculture_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Cosmetology_Screenshots_English Occupational Questionnaires	Form and Instruction
Cosmetology_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Electronic Equipment Operators_Screenshots_English Occupational Questionnaires	Form and Instruction
Electronic Equipment Operators_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Healthcare_Screenshots_English Occupational Questionnaires	Form and Instruction
Healthcare_Screenshots_Spansih Occupational Questionnaires	Form and Instruction
Janitorial_Screenshots_English Occupational Questionnaires	Form and Instruction
Janitorial_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Office Worker_Screenshots_English Occupational Questionnaires	Form and Instruction
Office Worker_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Restaurant Worker_Screenshots_English Occupational Questionnaires	Form and Instruction
Restaurant Worker_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Teaching_Screenshots_English Occupational Questionnaires	Form and Instruction
Teaching_Screenshots_Spanish Occupational Questionnaires	Form and Instruction
Agriculture_Screenshots_English AttF1.1a_OOQ_Agriculture.pdf	Form and Instruction
Agriculture_Screenshots_English AttF1.1a_OOQ_Agriculture.pdf	Form and Instruction
Agriculture_Screenshots_Spanish AttF1.1b_OOQ_Agriculture.pdf	Form and Instruction
Agriculture_Screenshots_Spanish AttF1.1b_OOQ_Agriculture.pdf	Form and Instruction
Cosmetology_Screenshots_English AttF1.2a_OOQ_Cosmetology.pdf	Form and Instruction
Cosmetology_Screenshots_English AttF1.2a_OOQ_Cosmetology.pdf	Form and Instruction
Cosmetology_Screenshots_Spanish AttF1.2b_OOQ_Cosmetology.pdf	Form and Instruction
Cosmetology_Screenshots_Spanish AttF1.2b_OOQ_Cosmetology.pdf	Form and Instruction
Electronic Equipment Operators_Screenshots_English AttF1.3a_OOQ_Electronic_Equipment_Operator.pdf	Form and Instruction
Electronic Equipment Operators_Screenshots_English AttF1.3a_OOQ_Electronic_Equipment_Operator.pdf	Form and Instruction
Electronic Equipment Operators_Screenshots_Spanish AttF1.3b_OOQ_Electronic_Equipment_Operator.pdf	Form and Instruction
Electronic Equipment Operators_Screenshots_Spanish AttF1.3b_OOQ_Electronic_Equipment_Operator.pdf	Form and Instruction
Healthcare_Screenshots_English AttF1.4a_OOQ_Healthcare.pdf	Form and Instruction
Healthcare_Screenshots_English AttF1.4a_OOQ_Healthcare.pdf	Form and Instruction
Healthcare_Screenshots_Spansih AttF1.4b_OOQ_Healthcare.pdf	Form and Instruction
Healthcare_Screenshots_Spansih AttF1.4b_OOQ_Healthcare.pdf	Form and Instruction
Janitorial_Screenshots_English AttF1.5a_OOQ_Janitorial.pdf	Form and Instruction
Janitorial_Screenshots_English AttF1.5a_OOQ_Janitorial.pdf	Form and Instruction
Janitorial_Screenshots_Spanish AttF1.5b_OOQ_Janitorial.pdf	Form and Instruction
Janitorial_Screenshots_Spanish AttF1.5b_OOQ_Janitorial.pdf	Form and Instruction
Office Worker_Screenshots_English AttF1.6a_OOQ_Office_Worker.pdf	Form and Instruction
Office Worker_Screenshots_English AttF1.6a_OOQ_Office_Worker.pdf	Form and Instruction
Office Worker_Screenshots_Spanish AttF1.6b_OOQ_Office_Worker.pdf	Form and Instruction
Office Worker_Screenshots_Spanish AttF1.6b_OOQ_Office_Worker.pdf	Form and Instruction
Restaurant Worker_Screenshots_English AttF1.7a_OOQ_Restaurant.pdf	Form and Instruction
Restaurant Worker_Screenshots_English AttF1.7a_OOQ_Restaurant.pdf	Form and Instruction
Restaurant Worker_Screenshots_Spanish AttF1.7b_OOQ_Restaurant.pdf	Form and Instruction
Restaurant Worker_Screenshots_Spanish AttF1.7b_OOQ_Restaurant.pdf	Form and Instruction
Teaching_Screenshots_English AttF1.8a_OOQ_Teaching.pdf	Form and Instruction
Teaching_Screenshots_English AttF1.8a_OOQ_Teaching.pdf	Form and Instruction
Teaching_Screenshots_Spanish AttF1.8b_OOQ_Teaching.pdf	Form and Instruction
Teaching_Screenshots_Spanish AttF1.8b_OOQ_Teaching.pdf	Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

Occupational Questionnaires

Agency IC Tracking Number:

0920-0010

Is this a Common Form? No

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable
Form and Instruction	n/a	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Health

Subfunction: Public Health Monitoring

Privacy Act System of Records

Title: Epidemiologic Studies and Surveillance of Disease Problems

FR Citation: 57 FR 62812

Number of Respondents: 830

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	830	830
Annual IC Time Burden (Hours)	277	277
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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