OMB control number

Survey of Healthcare Workers' Health and Safety Practices

OMB 0920-0860 · HHS/CDC.

OMB 0920-0860

Latest forms, documents, and information collections
Document	Type
Form 10 Healthcare Workers Core Module	Form and Instruction
Form 4 Secondary Hazard Module	Form and Instruction
Form 6 Healthcare Workers Primary Hazard Module	Form and Instruction
Form 2 Healthcare Workers Screening Module	Form and Instruction
Attachment H2_SamplingSmallOrgs_072310.docx	Supplementary Document
Attachment H1_SamplingLargeOrgs_FINAL_08042010.docx	Supplementary Document
Supporting Statement B_0 8_02_2010 (2).docx	Supporting Statement B
Attachment G_Web Page Materials_72310.docx	Supplementary Document
ICR Attmt F_HSRB Memo_3.1.10.docx	Supplementary Document
ICR Attmt E_Public MeetingFRN_3.1.10.docx	Supplementary Document
ICR Attmt D 60-day FRN.pdf	Supplementary Document
ICR Attmt C_LtrsofSupport_3.1.10.docx	Supplementary Document
ICR Attmt B_NIOSHSurvGoal3_3.1.10.docx	Supplementary Document
ICR Attmt A_OSHAct_3.1.10.docx	Supplementary Document
Supporting Statement A_08_02_2010.docx	Supporting Statement A
Healthcare Workers Core Module	Form and Instruction
Secondary Hazard Module	Form and Instruction
Healthcare Workers Primary Hazard Module	Form and Instruction
Healthcare Workers Screening Module	Form and Instruction
Professional Organizations	Instruction

Historical document collections
Reference	Filing	Received	Concluded	Action
201004-0920-008	New collection (Request for a new OMB Control Number)	2010-04-21		Approved with change