View Information Collection (IC)
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[NIOSH] Usability Testing of Toolbox Talks for Landscaping and Tree Care Workers 0920-0953-23BU
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Usability Testing Guide Attachment A- Usability Testing Guide.docx No   Fillable Fileable
Form and Instruction n/a Informed Consent Attachment B- Informed Consent.docx No   Fillable Fileable
Form and Instruction n/a Usability Testing Guide (Spanish) Attachment F- Usability Testing Guide-Spanish.docx No   Fillable Fileable
Form and Instruction n/a Informed Consent (Spanish) Attachment G- Informed Consent-Spanish.docx No   Fillable Fileable

Workforce Management Worker Safety

 

60 0
   
Individuals or Households
 
   10 %

  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) 65 0 65 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
GenIC Request Template Fast Track Clearance Submission Template_Usability Testing of Toolbox Talks_01-10-23_Clean.docx 01/12/2023
Research Determination Attachment C- Non-Research Determination.pdf 01/06/2023
Organizational Recruitment Letter and Script Attachment D- Organizational Recruitment Letter and Script.docx 01/06/2023
Recruitment Flyer Attachment E- Recruitment Flyer.docx 01/06/2023
Organizational Recruitment Letter and Script (Spanish) Attachment H- Organizational Recruitment Letter and Script-Spanish.docx 01/12/2023
Recruitment Flyer (Spanish) Attachment I- Recruitment Flyer-Spanish.docx 01/12/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.