View Information Collection (IC)

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Occupational Injuries and Illness Code Selection Study 22404
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix A Scenario Materials.docx Yes No Printable Only
Form and Instruction Appendix B Cognitive Interview Protocol Appendix B Interview Protocol.docx Yes No Printable Only
Form Appendix D Screening Questions Appendix D Screening questions.docx Yes No Printable Only
Form and Instruction Appendix E Informed Consent Appendix E Informed Consent.docx Yes No Printable Only

General Government Central Records & Statistical Mgt

 

60 0
   
Individuals or Households
 
   0 %

  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) 25 0 25 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appendix C Appendix C Recruitment advertisements.docx 02/02/2024
Note to Reviewer - Occupational Injuries and Illness Code Selection Study Note to Reviewer - Occupational Injuries and Illnesses Code Selection Study.docx 02/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.