Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Actigraphy*	Unchanged	80	20	0	Form	0920-23HM
Actigraphy*	Unchanged	80	20	0	Form	0920-23HM
Baseline Questionnaire	Modified	80	20	0	Form	0920-25-0041
Baseline Questionnaire	Modified	80	20	0	Form	0920-25-0041
Daily Post-Shift Questionnaires	Unchanged	1120	56	0	Form	0920-23HM
Daily Post-Shift Questionnaires	Unchanged	1120	56	0	Form	0920-23HM
Daily Pre-Shift Questionnaires	Unchanged	1120	56	0	Form	0920-23HM
Daily Pre-Shift Questionnaires	Unchanged	1120	56	0	Form	0920-23HM
Health and Safety Lead Interview Guide	Unchanged	7	7	0	Form	0920-23HM
Manager Interview Guide	Unchanged	10	10	0	Form and Instruction	0920-23HM
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
Worker Interview Guide	Unchanged	30	45	0	Form	0920-23HM
Worker Interview Guide	Unchanged	30	45	0	Form	0920-23HM
Total burden requested under this ICR:		4690	404	0
To view an IC, click on IC Title