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

View Information Collection (IC)

Occupational Questionnaires
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable
Form and Instruction n/a Yes Yes Fillable Fileable

Health Public Health Monitoring

Epidemiologic Studies and Surveillance of Disease Problems   57 FR 62812

830 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 830 0 0 0 0 830
Annual IC Time Burden (Hours) 277 0 0 0 0 277
Annual IC Cost Burden (Dollars) 2,764 0 0 0 0 2,764

Title Document Date Uploaded
Agriculture Questionnaire Content_English 08/26/2019
Agriculture Questionnaire Content_Spanish 08/26/2019
Cosmetology Questionnaire Content_English 08/26/2019
Cosmetology Questionnaire Content_Spanish 08/26/2019
Electrical Equipment Operators Questionnaire Content_English 08/26/2019
Electrical Equipment Operators Questionnaire Content_Spanish 08/26/2019
Healthcare Workers Questionnaire Content_English 08/26/2019
Healthcare Workers Questionnaire Content_Spanish 08/26/2019
Janitorial Workers Questionnaire Content_English 08/26/2019
Janitorial Workers Questionnaire Content_Spanish 08/26/2019
Office Workers Questionnaire Content_English 08/26/2019
Office Workers Questionnaire Content_Spanish 08/26/2019
Restaurant Workers Questionnaire Content_English 08/26/2019
Restaurant Workers Questionnaire Content_Spanish 08/26/2019
Teaching Questionnaire Content_English 08/26/2019
Teaching Questionnaire Content_Spanish 08/26/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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