Information Collection

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

IC 279538 under ICR 202512-0920-009 · OMB 0920-1154.

Documents and Forms

Document Name Document Type
Form 0920-26-0149 Initial Interview Script [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
Form 0920-26-0149 PostPrep Interview Script [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
Form 0920-26-0149 PostTraining Interview Script [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
Form 0920-26-0149 HeatStressTraining [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
Form 0920-26-0149 Employee Focus Group Questions [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
Form 0920-26-0149 Employee Survey [NIOSH] Keeping Cool: Evaluating NIOSH's Heat Stress Training Module to Inform Resource Development and Research Form
0920-26-0149 Initial Interview Script Attachment B1 Initial Interview Script.docx Form
0920-26-0149 PostPrep Interview Script Attachment B2 PostPrep Interview Script.docx Form
0920-26-0149 PostTraining Interview Script Attachment B3 PostTraining Interview Script.docx Form
0920-26-0149 HeatStressTraining GenICRequest_HeatStressTraining.docx Form
0920-26-0149 Employee Focus Group Questions Attachment D Employee Focus Group Questions.docx Form
0920-26-0149 Employee Survey Attachment C Employee Survey Questions.docx Form
Attachment A Federal Mine Safety and Health Act.docx Authorizing Legislation IC Document
Heat stress training SSB.03162026.docx SSB IC Document
GenICRequest_HeatStressTraining.docx GenICRequest IC Document
Heat stress training SSA.03162026.docx SSA IC Document
Attachment G Informed Consent.docx Informed Consent 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:	0920-26-0149

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-26-0149	Initial Interview Script	Attachment B1 Initial Interview Script.docx	Yes	Yes	Fillable Fileable
Form	0920-26-0149	PostPrep Interview Script	Attachment B2 PostPrep Interview Script.docx	Yes	Yes	Fillable Fileable
Form	0920-26-0149	PostTraining Interview Script	Attachment B3 PostTraining Interview Script.docx	Yes	Yes	Fillable Fileable
Form	0920-26-0149	HeatStressTraining	GenICRequest_HeatStressTraining.docx	Yes	Yes	Fillable Fileable
Form	0920-26-0149	Employee Focus Group Questions	Attachment D Employee Focus Group Questions.docx	Yes	Yes	Fillable Fileable
Form	0920-26-0149	Employee Survey	Attachment C Employee Survey Questions.docx	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

Line of Business: Workforce Management

Subfunction: Training and Employment

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: 100 %

	Approved	Program Change Due to Agency Discretion
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

Title	Document	Date Uploaded
Authorizing Legislation	Attachment A Federal Mine Safety and Health Act.docx	03/19/2026
SSB	Heat stress training SSB.03162026.docx	03/19/2026
GenICRequest	GenICRequest_HeatStressTraining.docx	03/19/2026
SSA	Heat stress training SSA.03162026.docx	03/19/2026
Informed Consent	Attachment G Informed Consent.docx	03/19/2026

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

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