PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Actigraphy*
New
80
20
0
Form
0920-23HM
Actigraphy
Form
0920-23HM
Actigraphy_Spanish
Baseline Questionnaire
New
80
20
0
Form
0920-24HM
Attachment 3a - Questionnaire_Baseline
Form
0920-24HM
Attachment 3b - Questionnaire_Baseline_ ES
Daily Post-Shift Questionnaires
New
1120
56
0
Form
0920-23HM
Daily Post-Shift Questionnaires
Form
0920-23HM
Daily Post-Shift Questionnaires_Spanish
Daily Pre-Shift Questionnaires
New
1120
56
0
Form
0920-23HM
Daily Pre-Shift Questionnaires
Form
0920-23HM
Daily Pre-Shift Questionnaires_Spanish
Health and Safety Lead Interview Guide
New
7
7
0
Form
0920-23HM
HSE Interview Guide
Manager Interview Guide
New
10
10
0
Form and Instruction
0920-23HM
Manager Interview Guide
Psychomotor Vigilance Test (PVT) – no form
New
2240
187
0
Other-No Form for this item
SME Interview Guide
New
3
3
0
Form
0920-23HM
SMEInterview Guide
Worker Interview Guide
New
30
45
0
Form
0920-23HM
Worker Interview Guide
Form
0920-23HM
Worker Interview Guide_Spanish
Total burden requested under this ICR:
4690
404
0
To view an IC, click on IC Title