OMB control number
Assessing the Impact of Organizational and Personal Antecedents on Proactive Health/Safety Decision Making
OMB 0920-1104 ยท HHS/CDC.
OMB 0920-1104
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Request for Nonsubstantive Change 0920-1104.docx | Justification for No Material/Nonsubstantive Change |
 30d (2) FRN published..pdf | Supplementary Document |
| Attachment G_IRB Exemption.pdf | Supplementary Document |
| Attachment B_60 Day FRN.pdf | Supplementary Document |
 Attachment A_MSHA.doc | Supplementary Document |
| SupSta B_022316.docx | Supporting Statement B |
| SupSta A_022316.docx | Supporting Statement A |
 Mine Worker Oral Consent Script |
Other-WORD |
| Mine Worker Recruitment Script |
Other-WORD |
| Mine Worker Survey |
Other-Screenshots |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201605-0920-010 | No material or nonsubstantive change to a currently approved collection | 2016-05-20 | Approved without change | |
| 201507-0920-010 | New collection (Request for a new OMB Control Number) | 2015-08-12 | Approved with change |