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View Information Collection (IC)
View Information Collection (IC)
IC Title:
Formative Evaluation of an Immersive VRMine Rescue Contest Simulation Exercise
Agency IC Tracking Number:
0920-21EY
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
0920-21EY
VRMine_Attachment_B_Exploration Team Survey
VRMine_Attachment_B_Exploration Team Survey.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-21EY
VRMine_Attachment_C_Briefing Officer Survey
VRMine_Attachment_C_Briefing Officer Survey.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-21EY
Team Trainers Survery
VRMine_Part 2- Attachment D.pdf
Yes
Yes
Fillable Fileable
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:
Individuals or Households
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)
19
0
19
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
SSA
VRMine.OMB.SSA.docx
05/05/2021
SSB
VRMine.OMB.SSB.docx
05/05/2021
Authorizing-Legislation
VRMine_Attachment_A_Authorizing-Legislation-FederalMineSafety&HealthAct1977_No Change.pdf
05/05/2021
VRMine_Attachment_E_Simulation Observation Form
VRMine_Attachment_E_Simulation Observation Form.docx
05/05/2021
VRMine_Attachment_F_In Person Recruitment Script
VRMine_Attachment_F_In Person Recruitment Script.docx
05/05/2021
VRMine_Attachment_G_Informed Consent
VRMine_Attachment_G_Informed Consent.docx
05/05/2021
Evaluation Protocol
VRMine_HSRB_AMENDMENT_VRMine Evaluation Protocol Amend for Generalized Data Collection Sites 20210108.docx
05/05/2021
GenIC Request for Approval
VRMineIMRCGenICRequest_20210421.docx
05/05/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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The .gov means it's official.
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