Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Actigraphy* Unchanged 80 20 0 Form 0920-23HM Actigraphy
Form 0920-23HM Actigraphy_Spanish
Baseline Questionnaire Modified 80 20 0 Form 0920-25-0041 Baseline Questionnaire
Form 0920-25-0041 Baseline Questionnaire
Daily Post-Shift Questionnaires Unchanged 1120 56 0 Form 0920-23HM Daily Post-Shift Questionnaires
Form 0920-23HM Daily Post-Shift Questionnaires_Spanish
Daily Pre-Shift Questionnaires Unchanged 1120 56 0 Form 0920-23HM Daily Pre-Shift Questionnaires
Form 0920-23HM Daily Pre-Shift Questionnaires_Spanish
Health and Safety Lead Interview Guide Unchanged 7 7 0 Form 0920-23HM HSE Interview Guide
Manager Interview Guide Unchanged 10 10 0 Form and Instruction 0920-23HM Manager Interview Guide
Psychomotor Vigilance Test (PVT) – no form Unchanged 2240 187 0 Other-No Form for this item
SME Interview Guide Unchanged 3 3 0 Form 0920-23HM SMEInterview Guide
Worker Interview Guide Unchanged 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