View Information Collection Request (ICR) Package
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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:
0920-1331
ICR Reference No:
202310-0920-010
Status:
Active
Previous ICR Reference No:
202008-0920-005
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-1331
Title:
[NIOSH] Heat-related Changes in Cognitive Performance
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
04/05/2024
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/28/2024
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
04/30/2027
36 Months From Approved
04/30/2024
Responses
936
0
936
Time Burden (Hours)
103
0
103
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this study is to collect information on burden of heat strain among miners as well as factors related to personal risk and core body temperature that contribute to individual variability in heat tolerance and to declines in heat-related worker performance. The goal of the study is to assess the following: (1) whether a core body temperature threshold exists at which cognitive performance beings to decline, (2) factors that contribute to inter- and intra- individual variability in cognitive physiologic responses to heat, and (2) patterns of heat strain among miners in both surface and underground mines. The intended use for this data is to develop guidance and strategies to mitigate risk of heat strain among miners. This guidance will build on the strategies currently used by mining but will include information on how to incorporate personal factors and physiologic measurements into current heat strain monitoring and prevention practices.
Authorizing Statute(s):
None
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:
88 FR 39433
06/16/2023
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 14499
02/27/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
19
IC Title
Form No.
Form Name
Appx C_Initial Participant Questionnaire: Field (Health screening)
0920-1331
Initial Participant Questionnaire: Field
Appx D - Questionnaire on Heat Stress (App) Miners-- Shift for field
Appx E -Pre-Shift Questionnaire on Heat Stress (App) Miners
Appx F_Physcal Examination (M/FF/CW)
0920-1331
Physical Examination
Appx G_Health Screen Questionnaire -- Environment Chamber (M/FF/CW)
0920-1331
Initial Participant Questionnaire: Chamber
Appx H_PANAS sleepiness fatigue (M/FF/CW)
Appx I_ Pre-Test Questionnaire (M/FF/CW)
Appx K_Field Recruitment Script (PVT Cognitive Test) _Miner
Appx L Consent (Field component) _Miners
0920-1331
Consent to be in a Research Study Health-related changes in cognitive performance Field component.
Appx M_ Consent Form Environment Chamber (M/FF/CW)
0920-1331
Consent to be in a Research Study Health-related changes in cognitive performance
Appx N_ Release of Information (HIPPA) (M/FF/CW)
0920-1331
Release of Information (HIPAA Privacy Authorization Form)
Appx O_ Exertion and Thermal Sensation Scale (M/FF/CW)
0920-1331
Exertion and Thermal Sensation Scale
Cognitive test: N-back -- no form (M/FF/CW)
Consent - Research Study (PVT Cognitive Test) - Field (M/FF/CW)
Consent Form - (Ingestion of Temperature Pill (M))
Fingerstick blood sample for point of care testing
Fitting of Chest Strap (M)
Fitting of Chest Strap (M/FF/CW)
Ingestion of Temperature Pill (M/FF/CW)
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
936
936
0
0
0
0
Annual Time Burden (Hours)
103
103
0
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Annual Cost to Federal Government:
$452,560
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.
Yes
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?
No
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:
02/28/2024
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