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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
[NIOSH] Assessing Industrial Hygiene Practices Across Hazardous Work Environments
Agency IC Tracking Number:
0920-26-0195
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0990-0488
Interview/Focus Group Guide - Private Sector Mining
2. Interview Focus Group Guide.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0990-0488
Interview/Focus Group Guide - Private Sector Construction
2. Interview Focus Group Guide.docx
N/A
Yes
Yes
Fillable Fileable
Form and Instruction
0990-0488
Interview/Focus Group Guide - Private Sector Oil and Gas Extraction
2. Interview Focus Group Guide.docx
N/A
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
132
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
90 %
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
132
0
132
0
0
0
Annual IC Time Burden (Hours)
132
0
132
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Recruitment Script
3. Recruitment Script.docx
06/22/2026
Electronic Consent Script and Instructions
4. Electronic Consent Script and Instructions.docx
06/22/2026
Informed Consent
5. Informed Consent.docx
06/22/2026
IRB Approval
6. IRB Approval.docx
06/22/2026
GenIC Request Template
0990-0488_GenIC Request.docx
06/22/2026
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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