OMB control number

Health Hazard Evaluation Program Customer Survey

OMB 0920-0803 · HHS/CDC.

OMB 0920-0803

Latest forms, documents, and information collections
Document	Type
Form no number Customer Focus Group Screener	Form
Form no number Customer Survey	Form
Form no number Customer Survey Pretest	Form
Attachment D Focus Group Screener[01-07-09].doc	Supplementary Document
Attachment C-2 Workplace Hlt Haz Survey[01-07-09].doc	Supplementary Document
Attachment H Consent Form Revised.doc	Supplementary Document
Attachment C-1 Letter of Invitation Revised.doc	Supplementary Document
HHE ICR Part B Revision 3.doc	Supporting Statement B
Attachment H Consent Form Revised.doc	Supplementary Document
Attachment G AED IRB Review.doc	Supplementary Document
Attachment F-2 HSRB2.doc (document unavailable)	Supplementary Document
Attachment F-1 HSRB1.doc (document unavailable)	Supplementary Document
Attachment B 60Day FRN.doc	Supplementary Document
Attachment A-4 Public Health Service Act 42USC241final.doc	Supplementary Document
Attachment A-3 Title 42 CFR Parts 85 and 85a.doc	Supplementary Document
Attachment A-2 PL 91-173.doc	Supplementary Document
Attachment A-1 PL 91-596.doc	Supplementary Document
Attachment C-3 Research Question Matrix.doc	Supplementary Document
Attachment C-1 Letter of Invitation Revised.doc	Supplementary Document
HHE ICR Part A Revision 3.doc	Supporting Statement A
Customer Focus Group Material Testing	Instruction
Customer Focus Group Concept Testing	Instruction
Customer Focus Group Screener	Form
Customer Survey	Form
Customer Survey Pretest	Form

Historical document collections
Reference	Filing	Received	Concluded	Action
200811-0920-002	New collection (Request for a new OMB Control Number)	2008-11-06		Approved with change