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[2022, NIOSH] Formative Research and Field Pilot Evaluation to Inform the Development of a NIOSH Training Product, the Safety Skills at Work Curriculum 0920-1154-21GU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Safety Skills at Work Pre-Survey Attachment D- Pre-Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Safety Skills at Work Post-Survey Attachment E- Post-Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Safety Skills at Work Follow-up Survey Attachment F- Follow-up Survey.docx Yes Yes Fillable Fileable
Form and Instruction None Safety Skills at Work Post-Training Feedback Session Questions Attachment G- Post-Training Feedback Session Questions.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

72 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 72 0 72 0 0 0
Annual IC Time Burden (Hours) 84 0 84 0 0 0
Annual IC Cost Burden (Dollars) 2,178 0 2,178 0 0 0

Title Document Date Uploaded
Supporting Statement Part A Supporting Statement A_07-19-22.docx 07/19/2022
Supporting Statement Part B Supporting Statement B_07-18-22.docx 07/19/2022
Authorizing Legislation: Occupational Safety and Health Act Attachment A- OSH Act.docx 07/19/2022
Safety Skills at Work: Main Curriculum Document (draft) Attachment B- Draft Main Curriculum Document.docx 07/19/2022
Safety Skills at Work: PowerPoint Presentation (draft) Attachment C- Draft PowerPoint Slides.pptx 07/19/2022
CDC Determination: IRB Approval is Not Required Attachment H- IRB Nonresearch Determination.pdf 07/19/2022
Recruitment Script Attachment I- Recruitment Script.docx 07/19/2022
Consent Script Attachment J- Consent Script.docx 07/19/2022
Emails to Confirm Participation Details Attachment K- Emails to Confirm Pilot Details.docx 07/19/2022
Survey Administration Emails Attachment L- Survey Admininistration Emails.docx 07/19/2022
Survey Reminder Emails Attachment M- Survey Reminder Emails.docx 07/19/2022
Flowchart of Steps for Each Cohort Attachment N- Flowchart of Steps for Each Cohort.docx 07/19/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.