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Formative Research to Inform an Intervention to Improve Early Detection and Surveillance of Pneumoconiosis in US Coal Miners 0920-1154-19BSR
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Interview guide Attachment_B_Interview Protocol.docx Yes No Paper Only
Form none Interview demographic survey Attachment_C_Interview_Demographics.docx Yes No Paper Only
Other-Focus group guide Attachment_D_FG_Protocol.docx Yes No Paper Only
Form none Focus group demographic survey Attachment_E_FG_Demographics.docx Yes No Paper Only
Form none Interview sign-up Attachment_G_Interview_Sign-Up.docx Yes No Paper Only

Health Illness Prevention

 

276 0
   
Individuals or Households
 
   0 %

  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 276 0 276 0 0 0
Annual IC Time Burden (Hours) 124 0 124 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing legislation Attachment_A_Federal Mine Safety & Health 1977.pdf 11/07/2019
Supporting Statement A Support Statement A_v4_clean.docx 11/07/2019
Supporting Statement B Supporting Statement B.docx 11/07/2019
Interview recruitment script Attachment_F_Interview_Recruitment.docx 11/07/2019
Focus group recruitment script Attachment_H_FG_Recruitment.docx 11/07/2019
Research determination Attachment_I_IRBDetermination.pdf 11/07/2019
Interview consent Attachment_K_Interview_Consent.docx 11/07/2019
Focus group consent Attachment_J_FG_Consent.docx 11/07/2019
genIC Request for Approval Draft Generic Clearance Submission-final.docx 11/07/2019
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.