View Information Collection Request (ICR) Package
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View Information Collection (IC) List
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0920-1278
ICR Reference No:
201906-0920-010
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-17BBV
Title:
Online Training for Law Enforcement to Reduce Risks Associated withShift Work and Long Work Hours
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/23/2019
Retrieve Notice of Action (NOA)
Date Received in OIRA:
07/23/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2020
12 Months From Approved
Responses
5,940
0
0
Time Burden (Hours)
334
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this project is to pilot test a new online training program for police that will relay the risks linked to shift work and long work hours and will give workplace strategies and personal strategies for the officers to reduce the risks. The pilot test will use a pretest, training intervention, posttest design to test the new online training in one group of 60 officers. These variables will be tested: 1) officers' sleep quality and quantity; 2) sleepiness; 3) knowledge; 4) changes in officers' behaviors.
Authorizing Statute(s):
PL:
Pub.L. 91 - 596 201(a)L1}
Name of Law: Occupational Safety and Heath Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
83 FR 63510
12/10/2018
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 32923
07/10/2019
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
10 minute Meeting
0920-
Appx C1_Sleep Diary Activity
Changes in Behaviors After the Training Program
0920-
Appx C7_Change in Behaviors After the Training Program
Demographics and Work Experience Survey
0920-
Appx C2_Demographics and Work Experience Survey
Epworth Sleepiness Scale Survey
0920-
Appx C4_Epworth Sleepiness Scale
Feedback About the Training, Barriers, and Influeuntial People
0920-
Appx C6_Feedback About the Training, Barriers, and Infuential People
Inital Meeting (Fit Actigraph)
0920-
Sleep Diary Activity
Knowledge Survey
0920-
Appx C3_Knowledge Survey
Law Enforcement Officer Recruitment and Informed Consent
Online Training
0920-
NIOSH Training for Law Enforcement on Shift Work and Long Work Hours
Pittsburgh Sleep Quality Index (App Ca_Sleep Activity Dairy Surveys)
0920-
Appx C5_Pittsburgh Sleep Quality Index Surveys
Sleep Activity Diary
0920-
Appx C1_Confidential Sleep/Wake Diary
ICR Summary of Burden
Total Approved
Previously Approved
Change Due to New Statute
Change Due to Agency Discretion
Change Due to Adjustment in Estimate
Change Due to Potential Violation of the PRA
Annual Number of Responses
5,940
0
0
5,940
0
0
Annual Time Burden (Hours)
334
0
0
334
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This is a NEW collection request for a new OMB Control Number.
Annual Cost to Federal Government:
$175,000
Does this IC contain surveys, censuses, or employ statistical methods?
Yes
Part B of Supporting Statement
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Thelma Sims 4046394771
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
07/23/2019
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