OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel

OMB 0920-1449 · HHS/CDC.

OMB 0920-1449

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 a study on surgical smoke (SS) and related respiratory health effects in U.S. clinical veterinary settings. The overarching goal of this project is to characterize occupational exposure to surgical smoke and related respiratory health effects in U.S. clinical veterinary settings. This study will describe surgical smoke-related respiratory health effects in VM/AC personnel and barriers/aids to implementing surgical smoke evacuation systems among VM/AC personnel.

The latest form for [NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel expires 2027-11-30 and is listed under ICR 202502-0920-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form 0920-24AL Post-shift QuestionnaireForm
Form 0920-24AL Post-shift QuestionnaireForm
Form 0920-25-0017 Att. 7Baseline Questionnaire_Nonsub change_Feb 2025 per EOForm
Form 0920-24AL Baseline QuestionnaireForm
Form 0920-24AL Baseline QuestionnaireForm
Form 0920-24AL Informed ConsentForm
Form 0920-24AL Informed ConsentForm
Form 0920-24AL Expression of Interest FormForm
Form 0920-24AL Expression of Interest FormForm
OMB Control 0920-1449_Change Request form EO 14168.docxJustification for No Material/Nonsubstantive Change
OMB Control 0920-1449_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Att. 10–IRB Approval Letter.pdfSupplementary Document
Att. 10–IRB Approval Letter.pdf Supplementary Document
Att. 9–Letters of Support.docxSupplementary Document
Att. 9–Letters of Support.docx Supplementary Document
Att. 4–Recruitment Email.docxSupplementary Document
Att. 3–Study Recruitment Fact Sheet.docxSupplementary Document
Att. 3–Study Recruitment Fact Sheet.docx Supplementary Document
Att. 2–60-day FRN.pdfSupplementary Document
Att. 2–60-day FRN.pdf Supplementary Document
Att. 1–Authorizing Legislation.docxSupplementary Document
Att. 1–Authorizing Legislation.docx Supplementary Document
Veterinary Surgical Smoke_SSB.docxSupporting Statement B
Veterinary Surgical Smoke_SSB.docxSupporting Statement B
Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docxSupporting Statement A
Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docxSupporting Statement A
Post-shift Questionnaire Form
Post-shift Questionnaire Form
Baseline Questionnaire Form
Baseline Questionnaire Form
Baseline Questionnaire Form
Informed Consent Form
Informed Consent Form
Expression of Interest Form Form
Expression of Interest Form Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202502-0920-010 No material or nonsubstantive change to a currently approved collection 2025-03-28
202410-0920-008 New collection (Request for a new OMB Control Number) 2024-10-09 Approved with change

OMB Details

Expression of Interest Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Information collection instruments
FormNameElectronic accessType
Form 0920-24ALExpression of Interest FormFillable FileableForm

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