View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Occupational Questionnaires
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form none Agriculture Questionnaire AttH1_OCC_Agriculture.pdf Yes Yes Fillable Fileable
Form none Electronic Equipment Operator Questionnaire AttH2_OCC_EEO.PDF Yes Yes Fillable Fileable
Form none Cosmetology Questionnaire AttH3_OCC_Hairstylist.pdf Yes Yes Fillable Fileable
Form none Healthcare Questionnaire AttH4_OCC_Healthcare.pdf Yes Yes Fillable Fileable
Form none Housekeeping Questionnaire AttH5_OCC_Janitorial.pdf Yes Yes Fillable Fileable
Form none Office Work Questionnaire AttH6_OCC_OfficeWorker.pdf Yes Yes Fillable Fileable
Form none Restaurant Work Questionnaire AttH7_OCC_Restaurant.pdf Yes Yes Fillable Fileable
Form none Teacher Questionnaire AttH8_OCC_Teacher.pdf Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

642 0
   
Individuals or Households
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 642 0 642 0 0 0
Annual IC Time Burden (Hours) 214 0 214 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Screenshot - agriculture BDSTEPS_OCC_Agriculture_Nov302015.pdf 12/01/2015
Screenshot - EEO BDSTEPS_OCC_EEO_Nov302015.pdf 12/01/2015
Screenshot - hairstylist BDSTEPS_OCC_Hairstylist_Nov302015.pdf 12/01/2015
Screenshot - healthcare BDSTEPS_OCC_Healthcare_Nov302015.pdf 12/01/2015
Screenshot - janitorial BDSTEPS_OCC_Janitorial_Nov302015.pdf 12/01/2015
Screenshot - office worker BDSTEPS_OCC_OfficeWorker_Nov302015.pdf 12/01/2015
Screenshot - restaurant BDSTEPS_OCC_Restaurant_Nov302015.pdf 12/01/2015
Screenshot - teacher BDSTEPS_OCC_Teacher_Nov302015.pdf 12/01/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.