Information Collection

[NOISH] Customer Discovery Interviews with Five NIOSH Audiences

IC 270391 under ICR 202506-0920-010 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment 2 - Interview guide.docx	Instruction
Attachment 2 - Interview guide.docx	Instruction
Attachment 1- Authorizing Legislation.docx Authorizing Legislation	IC Document
Attachment 1- Authorizing Legislation.docx Authorizing Legislation	IC Document
Attachment 3 - Non-research determination.docx Non Research Determination	IC Document
Attachment 3 - Non-research determination.docx Non Research Determination	IC Document
FW Privacy Act Request.msg Privacy Act Determination	IC Document
FW Privacy Act Request.msg Privacy Act Determination	IC Document
Supporting Statement A_Customer Discovery Interviews.final_09042024.docx SSA (24IJ)	IC Document
Supporting Statement A_Customer Discovery Interviews.final_09042024.docx SSA (24IJ)	IC Document
Supporting Statement B_Customer Discovery Interviews.final.docx SSB (24IJ)	IC Document
Supporting Statement B_Customer Discovery Interviews.final.docx SSB (24IJ)	IC Document

IC Title:

[NOISH] Customer Discovery Interviews with Five NIOSH Audiences

Agency IC Tracking Number:

0920-1154-24IJ

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction					No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 160

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 75 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	160	160
Annual IC Time Burden (Hours)	160	160
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].