Information Collection

[NOISH] Customer Discovery Interviews with Five NIOSH Audiences

IC 270391 under ICR 202507-0920-010 · 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⚠️ Notice: This information collection may be referencing outdated material.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 1- Authorizing Legislation.docx Authorizing Legislation	IC Document
Attachment 3 - Non-research determination.docx Non Research 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 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.

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