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[NIOSH] Developing a Framework to Identify and Address Job Hazards Unique to Women Mine Workers 0920-25-0042
 
Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction n/a Focus Group Conversation Guide for Women Mine Workers Attachment B -- focus group conversation guide for women mine workers_10.18.24.docx Yes Yes Fillable Fileable
Form and Instruction n/a Focus Group Conversation Guide for Mine Managers and HS Professionals Attachment C -- focus group conversation guide for mine managers and hs professionals_10.18.24.docx Yes Yes Fillable Fileable
Form and Instruction n/a Demo Attachment D -- demographic and work history survey_030525.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

260 0
   
Individuals or Households
 
   10 %

  Requested 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 260 0 0 0 0 260
Annual IC Time Burden (Hours) 217 0 0 0 0 217
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation Attachment A -- authorizing legislation.pdf 10/29/2024
Recruitment Materials Attachment E -- recruitment materials_10.18.24.docx 10/29/2024
Research Determination Attachment F -- 7507 Exempt Research Approval_2024-08-13.pdf 10/29/2024
Informed Consent for Women Mine Workers Attachment G -- informed consent form for women mine workers.docx 10/29/2024
Informed Consent for Mine Managers and HS Professionals Attachment H -- informed consent form for mine managers and hs professionals.docx 10/29/2024
GenIC Request Template GenICRequest_WIM Study_10.21.2024.docx 10/31/2024
SSA WIM SSA 2.21.25_revised.docx 07/03/2025
SSB WIM SSB 2.21.25_revised.docx 07/03/2025
Change Request Justification Change Request form EO 14168_WIM.docx 07/03/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.