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:
0920-1436
ICR Reference No:
202503-0920-018
Status:
Active
Previous ICR Reference No:
202403-0920-015
Agency/Subagency:
HHS/CDC
Agency Tracking No:
0920-25-0041
Title:
[NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction
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:
04/11/2025
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/28/2025
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2027
06/30/2027
06/30/2027
Responses
4,690
0
4,690
Time Burden (Hours)
404
0
404
Cost Burden (Dollars)
0
0
0
Abstract:
This information collection request (ICR) facilitates agency initiation and conduct of the investigation of fatigue and fatigue management in land-based Oil and Gas Extraction (OGE) workers in the United States. Collection of information may help a) identify occupational and non-occupational determinants of fatigue in OGE workers; b) identify worker and organizational factors to consider when developing and implementing fatigue management strategies in the OGE industry; and c) describe how fatigue mitigation strategies are currently being used in the onshore OGE industry.
Authorizing Statute(s):
PL:
Pub.L. 91 - 596 29 USC 669
Name of Law: OSHA Act 1970
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 56831
08/01/2023
30-day Notice:
Federal Register Citation:
Citation Date:
89 FR 20477
03/22/2024
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
Actigraphy*
0920-23HM, 0920-23HM
Actigraphy
,
Actigraphy_Spanish
Baseline Questionnaire
0920-25-0041, 0920-25-0041
Baseline Questionnaire
,
Baseline Questionnaire
Daily Post-Shift Questionnaires
0920-23HM, 0920-23HM
Daily Post-Shift Questionnaires
,
Daily Post-Shift Questionnaires_Spanish
Daily Pre-Shift Questionnaires
0920-23HM, 0920-23HM
Daily Pre-Shift Questionnaires
,
Daily Pre-Shift Questionnaires_Spanish
Health and Safety Lead Interview Guide
0920-23HM
HSE Interview Guide
Manager Interview Guide
0920-23HM
Manager Interview Guide
Psychomotor Vigilance Test (PVT) – no form
SME Interview Guide
0920-23HM
SMEInterview Guide
Worker Interview Guide
0920-23HM, 0920-23HM
Worker Interview Guide
,
Worker Interview Guide_Spanish
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
4,690
4,690
0
0
0
0
Annual Time Burden (Hours)
404
404
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:
$180,153
Does this IC contain surveys, censuses, or employ statistical methods?
No
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?
No
Agency Contact:
Odion Clunis 770 488-0045 lta2@cdc.gov
Common Form ICR:
Yes
Description/Changes for Common Form Usage:
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:
03/28/2025
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