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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Formative Evaluation of an Immersive VRMine Rescue Contest Simulation Exercise
Agency IC Tracking Number:
0920-21AQ
IC Status:
New
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
Exploration Team Survey
Attachment_B_Exploration Team Survey.docx
No
Paper Only
Form and Instruction
n/a
Briefing Officer Survey
Attachment_C_Briefing Officer Survey_20201026.docx
No
Paper Only
Form and Instruction
n/a
Team Trainer Interview Questions
Attachment_D_Team Trainer Interview Questions.docx
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
35
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
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
35
0
35
0
0
0
Annual IC Time Burden (Hours)
18
0
18
0
0
0
Annual IC Cost Burden (Dollars)
364
0
364
0
0
0
Documents for IC
Title
Document
Date Uploaded
GENIC Template with Project Overview
VRMineIMRCGenICRequest_20201026.docx
10/26/2020
Supporting Statement A
VRMineIMRC.OMB.SSA_20201026.docx
10/26/2020
Supporting Statement B
VRMineIMRC.OMB.SSB_20201026.docx
10/26/2020
Federal Mine Safety and Health Act of 1977
Attachment-A-FederalMineSafety&HealthAct1977_STARS.Submit.FINAL.pdf
10/26/2020
Simulation Exercise Observation Form (for study team)
Attachment_E_Simulation Exercise Observation Form.docx
10/26/2020
Recruitment Script
Attachment_F_In Person Recruitment Script.docx
10/26/2020
Informed Consent
Attachment_G_Informed Consent.docx
10/26/2020
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.