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Seat belt use among workers who drive as part of their job: what's not "clicking"? 0920-1154-21IB
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD No   Paper Only
Other-WORD No   Paper Only
Other-WORD No   Paper Only
Other-WORD No   Paper Only

Health Health Care Services

 

60 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 140 0 140 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
SSA 09/16/2021
SSB 09/20/2021
OSH Act 09/20/2021
Worker Recruitment Materials (English version) 09/20/2021
Manager/Supervisor Recruitment Materials 09/20/2021
Worker Consent Form 09/20/2021
Supervisor/Manager Consent Form 09/20/2021
IRB Approval Letter 09/20/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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