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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Occupational Questionnaires
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
n/a
Agriculture_Screenshots_English
AttG1.1_BDSTEPS_OOQ_Agriculture.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Agriculture_Screenshots_Spanish
AttG1.2_BDSTEPS_OOQ_Agriculture_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Cosmetology_Screenshots_English
AttG2.1_BDSTEPS_OOQ_Cosmetology.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Cosmetology_Screenshots_Spanish
AttG2.2_BDSTEPS_OOQ_Cosmetology_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Electronic Equipment Operators_Screenshots_English
AttG3.1_BDSTEPS_OOQ_EEO.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Electronic Equipment Operators_Screenshots_Spanish
AttG3.2_BDSTEPS_OOQ_EEO_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Healthcare_Screenshots_English
AttG4.1_BDSTEPS_OOQ_Healthcare.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Healthcare_Screenshots_Spansih
AttG4.2_BDSTEPS_OOQ_Healthcare_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Janitorial_Screenshots_English
AttG5.1_BDSTEPS_OOQ_Janitorial.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Janitorial_Screenshots_Spanish
AttG5.2_BDSTEPS_OOQ_Janitorial_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Office Worker_Screenshots_English
AttG6.1_BDSTEPS_OOQ_OfficeWorker.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Office Worker_Screenshots_Spanish
AttG6.2_BDSTEPS_OOQ_OfficeWorker_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Restaurant Worker_Screenshots_English
AttG7.1_BDSTEPS_OOQ_Restaurant.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Restaurant Worker_Screenshots_Spanish
AttG7.2_BDSTEPS_OOQ_Restaurant_SPAN.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Teaching_Screenshots_English
AttG8.1_BDSTEPS_OOQ_Teaching.pdf
Yes
Yes
Fillable Fileable
Form and Instruction
n/a
Teaching_Screenshots_Spanish
AttG8.2_BDSTEPS_OOQ_Teaching_SPAN.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
Epidemiologic Studies and Surveillance of Disease Problems
FR Citation:
57 FR 62812
Number of Respondents:
830
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
Documents for IC
Title
Document
Date Uploaded
Agriculture Questionnaire Content_English
AttG1.A1_BDSTEPS_OOQ_Agriculture-HC.pdf
08/26/2019
Agriculture Questionnaire Content_Spanish
AttG1.B2_BDSTEPS_OOQ_Agriculture_-HC_SPAN.pdf
08/26/2019
Cosmetology Questionnaire Content_English
AttG2.A1_BDSTEPS_OOQ_Cosmetology-HC.pdf
08/26/2019
Cosmetology Questionnaire Content_Spanish
AttG2.B2_BDSTEPS_OOQ_Cosmetology_-HC_SPAN.pdf
08/26/2019
Electrical Equipment Operators Questionnaire Content_English
AttG3.A1_BDSTEPS_OOQ_EEO-HC.pdf
08/26/2019
Electrical Equipment Operators Questionnaire Content_Spanish
AttG3.B2_BDSTEPS_OOQ_EEO_-HC_SPAN.pdf
08/26/2019
Healthcare Workers Questionnaire Content_English
AttG4.A1_BDSTEPS_OOQ_Healthcare-HC.pdf
08/26/2019
Healthcare Workers Questionnaire Content_Spanish
AttG4.B2_BDSTEPS_OOQ_Healthcare_-HC_SPAN.pdf
08/26/2019
Janitorial Workers Questionnaire Content_English
AttG5.A1_BDSTEPS_OOQ_Janitorial-HC.pdf
08/26/2019
Janitorial Workers Questionnaire Content_Spanish
AttG5.B2_BDSTEPS_OOQ_Janitorial_-HC_SPAN.pdf
08/26/2019
Office Workers Questionnaire Content_English
AttG6.A1_BDSTEPS_OOQ_OfficeWorker-HC.pdf
08/26/2019
Office Workers Questionnaire Content_Spanish
AttG6.B2_BDSTEPS_OOQ_OfficeWorker_-HC_SPAN.pdf
08/26/2019
Restaurant Workers Questionnaire Content_English
AttG7.A1_BDSTEPS_OOQ_Restaurant-HC.pdf
08/26/2019
Restaurant Workers Questionnaire Content_Spanish
AttG7.B2_BDSTEPS_OOQ_Restaurant_-HC_SPAN.pdf
08/26/2019
Teaching Questionnaire Content_English
AttG8.A1_BDSTEPS_OOQ_Teaching-HC.pdf
08/26/2019
Teaching Questionnaire Content_Spanish
AttG8.B2_BDSTEPS_OOQ_Teaching_-HC_SPAN.pdf
08/26/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.