OMB control number

[NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey

OMB 0920-1373 · HHS/CDC.

OMB 0920-1373

The Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH) seeks approval from the Office of Management and Budget (OMB) to conduct an evaluation of fire department implementation of the NIOSH Fire Fighter Fatality Investigation and Prevention Program (FFFIPP). This Non-Substantive Change Request is submitted to send additional survey reminders to non-responding fire departments. This request will change the number of reminders being sent from three (3) to five (5). There is no change to the burden hours already approved for this project.

The latest form for [NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey expires 2026-04-30 and is listed under ICR 202403-0920-001.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form 0920-1373 Company Officers	Form and Instruction
Form 0920-1373 Company Officers	Form and Instruction
Form 0920-1373 Fire Chiefs	Form and Instruction
Form 0920-1373 Fire Chiefs	Form and Instruction
Form 0920-1373 Firefighters	Form and Instruction
Form 0920-1373 Firefighters	Form and Instruction
Request for Nonsubstantive Change 3_4_24.docx	Justification for No Material/Nonsubstantive Change
Updated Att8. FFFIPP Survey Reminder.docx	Supplementary Document
Updated Att8. FFFIPP Survey Reminder.docx	Supplementary Document
Att9. FFFIPP Sampling Plan.docx	Supplementary Document
Att9. FFFIPP Sampling Plan.docx	Supplementary Document
Att10. Recruitment Dissemination Plan.pptx	Supplementary Document
Att10. Recruitment Dissemination Plan.pptx	Supplementary Document
Att8. FFFIPP Survey Reminder.docx	Supplementary Document
Att8. FFFIPP Survey Reminder.docx	Supplementary Document
Att7.IRB Determination.pdf	Supplementary Document
Att7.IRB Determination.pdf	Supplementary Document
Att6. Data Confidentiality.docx	Supplementary Document
Att6. Data Confidentiality.docx	Supplementary Document
Att5. Survey Invitation.docx	Supplementary Document
Att5. Survey Invitation.docx	Supplementary Document
Att4. FFFIPP Survey Invite-Email .docx	Supplementary Document
Att3. Invite-Phone Script .docx	Supplementary Document
Att3. Invite-Phone Script .docx	Supplementary Document
Att2a. Survey Screenshot.docx	Supplementary Document
Att2a. Survey Screenshot.docx	Supplementary Document
Att1. Authorizing legislation.docx	Supplementary Document
Att1. Authorizing legislation.docx	Supplementary Document
NIOSH FFFIPP OMB_Statement B_090823.docx	Supporting Statement B
NIOSH FFFIPP OMB_Statement B_090823.docx	Supporting Statement B
NIOSH FFFIPP OMB_Statement A_090823.docx	Supporting Statement A
NIOSH FFFIPP OMB_Statement A_090823.docx	Supporting Statement A
Company Officers	Form and Instruction
Company Officers	Form and Instruction
Fire Chiefs	Form and Instruction
Fire Chiefs	Form and Instruction
Firefighters	Form and Instruction
Firefighters	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Action
202403-0920-001	No material or nonsubstantive change to a currently approved collection	2024-03-06	Approved without change
202310-0920-015	Revision of a currently approved collection	2023-10-31	Approved without change
202207-0920-010	New collection (Request for a new OMB Control Number)	2022-07-26	Approved without change

OMB Details

Firefighters

Federal Enterprise Architecture: Workforce Management - Worker Safety

Information collection instruments
Form	Name	Electronic access	Type
Form 0920-1373	Att1a. FFFIPP Survey-Firefighter	Fillable Fileable	Form and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.