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[NIOSH] Formative Needs Assessment for Regional Worker Health Monitoring in a Rural Oil and Gas Basin: A Pilot 0920-25-0059
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25-0059 Yes Yes Fillable Fileable
Form 0920-25-0059 Yes Yes Fillable Fileable
Form 0920-25-0059 Yes Yes Fillable Fileable

Health Public Health Monitoring

 

75 0
   
Individuals or Households
 
   0 %

  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 75 0 0 0 0 75
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation 05/20/2025
Authorizing Legislation 05/20/2025
Draft Questionnaire 05/20/2025
SSA 05/20/2025
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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