Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Communication Community of Practice Meetings New 244 41 0 Form and Instruction 0920-0953
Customer Survey to Solicit Feedback on NIOSH Workplace Guidance Documents New 82632 6887 0 Form and Instruction n/a
Data collection for evidence-based revisions to the Fire Fighter Fatality Investigation and Prevention Program Line of Duty Death reports New 100 107 0 Other-Screening questions
Other-Script for verbal informed consent
Other-Semi-structured interview guide (no investigation)
Other-Semi-structured interview guide (w/ investigation)
[2022] Occupational Exposure Banding (OEB) Evaluation Survey New 500 83 0 Form and Instruction n/a
Form and Instruction n/a
[CSELS] DLS CLPF Meeting Evaluation Survey 2022 New 40 3 0 Form and Instruction None
[NIOSH] : Satisfaction Survey for three-part virtual workshop series on Impact Wellbeing™ Guide New 150 39 0 Form and Instruction 0920-0953
Form and Instruction 0920-0953
Form and Instruction 0920-0953
[NIOSH] Data collection for evidence-based revisions to the Fire Fighter Fatality Investigation and Prevention Program's Medical Line of Duty Death reports New 30 76 0 Other-WORD
Other-WORD
Other-WORD
Other-WORD
[NIOSH] Focus groups to obtain input from construction workers and employers New 54 84 0 Form and Instruction 0920-23ET
Form and Instruction 0920-23ET
Form and Instruction 0920-23ET
[NIOSH] NIOSH Approved Radiograph Facility Quality Assurance Program Customer Satisfaction Survey New 153 8 0 Form n/a
[NIOSH] NIOSH Health Worker Mental Health Campaign: Implementation Guide Usability Testing New 660 330 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
[NIOSH] Usability Testing of Toolbox Talks for Landscaping and Tree Care Workers New 60 65 0 Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
Form and Instruction n/a
[NIOSH] Virtual Focus Groups to Obtain Feedback from Retail Employers and Employees on WMSDs and STFs New 48 76 0 Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
Form and Instruction None
[NIOSH] Worker Notification User Feedback Survey (Comment Card) New 500 21 0 Form and Instruction n/a
[NOISH] Mental Health Campaign Website Feedback Survey New 700 23 0 Form 0920-0953
[NOISH] NORA Services Sector Council Member Questionnaire New 60 20 0 Form 0920-0953
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 85931 7863 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title