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Federal forms, ICRs, and supporting documents

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

Documents and forms in this information collection
Document NameDocument 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)

layout table

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
Form 0920-26-0149 Yes Yes Fillable Fileable
Form 0920-26-0149 Yes Yes Fillable Fileable
Form 0920-26-0149 Yes Yes Fillable Fileable
Form 0920-26-0149 Yes Yes Fillable Fileable
Form 0920-26-0149 Yes Yes Fillable Fileable
Form 0920-26-0149 Yes Yes Fillable Fileable

Federal Enterprise Architecture Business Reference Module


table that charts list of burden
  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 182 0 182 0 0 0
Annual IC Time Burden (Hours) 68 0 68 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Documents for IC
table that charts IC Documents
Title Document Date Uploaded
Authorizing Legislation 03/19/2026
SSB 03/19/2026
GenICRequest 03/19/2026
SSA 03/19/2026
Informed Consent 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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