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:
0920-1367
ICR Reference No:
202502-0920-007
Status:
Historical Active
Previous ICR Reference No:
202206-0920-011
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-21FC
Title:
Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
Yes
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
03/10/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/05/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2025
08/31/2025
08/31/2025
Responses
350
0
350
Time Burden (Hours)
341
0
341
Cost Burden (Dollars)
0
0
0
Abstract:
The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH is committed to providing educational materials to employers and workers on workplace health and safety topics. Part of this commitment is regular evaluation of education products to determine if NIOSH-sponsored products are still successful at communicating and translating knowledge, impactful to worker health and safety. This evaluation is supported by NIOSH intramural NORA funding and will evaluate RN sleep health and wellbeing pre- and post-training. NIOSH intends to Discontinue this data collection. However, attempts to perform this action in ROCIS result in an Error Message “The OMB Control Number cannot be Discontinued because it is a Common Form.” NIOSH did not intend to have this data collection approved as a Common Form and this was done in error. This Non-Substantive Change Request is submitted to change the status of this collection and allow the subsequent submission of a Discontinuation. There is no change in burden.
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:
86 FR 26517
05/14/2021
30-day Notice:
Federal Register Citation:
Citation Date:
87 FR 35780
06/13/2022
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Actigraphy watch Fitting
Actigraphy watch training
Baseline Survey
0920-22FC
Attachment D.Baseline Survey
Consensus Sleep Diary
0920-21FC
Attachment E.Consensus Sleep Diary
Immediate Post-Training Survey
0920-21FC
Attachment D.2 SURVEY FOR IMMEDIATE POST-TRAINING
Online Nurses Training
Post-Training (1, 3, and 6-months) Survey
0920-21FC
Post-Training (1, 3, and 6-months) Survey
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
350
350
0
0
0
0
Annual Time Burden (Hours)
341
341
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:
The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH estimates a total annual response burden of 341 hours for this new information collection.
Annual Cost to Federal Government:
$276,000
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.
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:
Jeffrey Zirger 404 639-7118 wtj5@cdc.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
NIOSH intends to Discontinue this data collection. However, attempts to perform this action in ROCIS result in an Error Message “The OMB Control Number cannot be Discontinued because it is a Common Form.” NIOSH did not intend to have this data collection approved as a Common Form and this was done in error. This Non-Substantive Change Request is submitted to change the status of this collection and allow the subsequent submission of a Discontinuation. There is no change in burden.
Approved RCFs using this ICR
Agency/Sub Agency
RCF ID
RCF Title
RCF Status
IC Title
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:
03/05/2025
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