Information Collection

[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research

IC 269300 under ICR 202507-0920-004 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 0920-1154 [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form and Instruction
Form 0920-1154 Script for Initial Interview with OSH Managers and Trainers [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form and Instruction
Form 0920-1154 Script for Post-Preparation Interview with Osh Managers and Trainers (Prior to Training) [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form and Instruction
Form 0920-1154 Script for POST-TRAINING INTERVIEW with OSH Managers and Trainers [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form and Instruction
Form 0920-1154 Employee Survey [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form and Instruction
Form 0920-1154 Employee Focus Group Questions [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form
Form 0920-1154 NIOSH Heat Stress Training Log [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research	Form
0920-1154 Script for Initial Interview with OSH Managers and Train Attachment B1 Initial Interview Script.docx	Form and Instruction
0920-1154 Script for Initial Interview with OSH Managers and Train Attachment B1 Initial Interview Script.docx	Form and Instruction
0920-1154 Script for Post-Preparation Interview with Osh Managers Attachment B2 PostPrep Interview Script.docx	Form and Instruction
0920-1154 Script for Post-Preparation Interview with Osh Managers Attachment B2 PostPrep Interview Script.docx	Form and Instruction
0920-1154 Script for POST-TRAINING INTERVIEW with OSH Managers and Attachment B3 PostTraining Interview Script.docx	Form and Instruction
0920-1154 Script for POST-TRAINING INTERVIEW with OSH Managers and Attachment B3 PostTraining Interview Script.docx	Form and Instruction
0920-1154 Employee Survey Attachment C Employee Survey.docx	Form and Instruction
0920-1154 Employee Survey Attachment C Employee Survey.docx	Form and Instruction
0920-1154 Employee Focus Group Questions Attachment D Employee Focus Group.docx	Form
0920-1154 Employee Focus Group Questions Attachment D Employee Focus Group.docx	Form
0920-1154 NIOSH Heat Stress Training Log Attachment E Training Log.docx	Form
0920-1154 NIOSH Heat Stress Training Log Attachment E Training Log.docx	Form
Attachment A Federal Mine Safety and Health Act of 1977.pdf Authorizing Legislation	IC Document
Attachment A Federal Mine Safety and Health Act of 1977.pdf Authorizing Legislation	IC Document
Attachment F IRB exemption.pdf IRB Determination	IC Document
Attachment F IRB exemption.pdf IRB Determination	IC Document
Attachment G Informed Consent.docx Informed Consent	IC Document
Attachment G Informed Consent.docx Informed Consent	IC Document
SSA.071224 (24HH).docx SSA	IC Document
SSA.071224 (24HH).docx SSA	IC Document
Heat stress training SSB_final_062824.docx SSB	IC Document
Heat stress training SSB_final_062824.docx SSB	IC Document
GenICRequest_HeatStressTraining.docx Request for Approval under the “Formative Research and Tool Development” (OMB Control Number: 0920-1154)	IC Document
GenICRequest_HeatStressTraining.docx Request for Approval under the “Formative Research and Tool Development” (OMB Control Number: 0920-1154)	IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:

[NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research

Agency IC Tracking Number:

0920-1154-24HH

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Available Electronically?	Electronic Capability
Form and Instruction	0920-1154	No	Paper Only
Form and Instruction	0920-1154	No	Paper Only
Form and Instruction	0920-1154	No	Paper Only
Form and Instruction	0920-1154	No	Paper Only
Form	0920-1154	No	Paper Only
Form	0920-1154	No	Paper Only

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 182

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	182	182
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Authorizing Legislation		07/11/2024
IRB Determination		07/11/2024
Informed Consent		07/11/2024
SSA		07/15/2024
SSB		07/11/2024
Request for Approval under the âFormative Research and Tool Developmentâ (OMB Control Number: 0920-1154)		07/15/2024

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

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