Information Collection

[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers

IC 271878 under ICR 202507-0920-005 · 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers Form and Instruction
[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers Form and Instruction
Focus Group Conversation Guide for Women Mine Workers Attachment B -- focus group conversation guide for women mine workers_10.18.24.docx Form and Instruction
Focus Group Conversation Guide for Women Mine Workers Attachment B -- focus group conversation guide for women mine workers_10.18.24.docx Form and Instruction
Focus Group Conversation Guide for Mine Managers and HS Attachment C -- focus group conversation guide for mine managers and hs professionals_10.18.24.docx Form and Instruction
Focus Group Conversation Guide for Mine Managers and HS Attachment C -- focus group conversation guide for mine managers and hs professionals_10.18.24.docx Form and Instruction
Demo Attachment D -- demographic and work history survey_030525.docx Form and Instruction
Demo Attachment D -- demographic and work history survey_030525.docx Form and Instruction
Attachment A -- authorizing legislation.pdf Authorizing Legislation IC Document
Attachment A -- authorizing legislation.pdf Authorizing Legislation IC Document
Attachment E -- recruitment materials_10.18.24.docx Recruitment Materials IC Document
Attachment E -- recruitment materials_10.18.24.docx Recruitment Materials IC Document
Attachment F -- 7507 Exempt Research Approval_2024-08-13.pdf Research Determination IC Document
Attachment F -- 7507 Exempt Research Approval_2024-08-13.pdf Research Determination IC Document
Attachment G -- informed consent form for women mine workers.docx Informed Consent for Women Mine Workers IC Document
Attachment G -- informed consent form for women mine workers.docx Informed Consent for Women Mine Workers IC Document
Attachment H -- informed consent form for mine managers and hs professionals.docx Informed Consent for Mine Managers and HS Professionals IC Document
Attachment H -- informed consent form for mine managers and hs professionals.docx Informed Consent for Mine Managers and HS Professionals IC Document
GenICRequest_WIM Study_10.21.2024.docx GenIC Request Template IC Document
GenICRequest_WIM Study_10.21.2024.docx GenIC Request Template IC Document
WIM SSA 2.21.25_revised.docx SSA IC Document
WIM SSA 2.21.25_revised.docx SSA IC Document
WIM SSB 2.21.25_revised.docx SSB IC Document
WIM SSB 2.21.25_revised.docx SSB IC Document
Change Request form EO 14168_WIM.docx Change Request Justification IC Document
Change Request form EO 14168_WIM.docx Change Request Justification IC Document

Information Collection (IC) Details

IC Title	[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers
IC Status	Unchanged
Obligation to Respond	Voluntary