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OMB Control No: 0920-0260	ICR Reference No: 202610-0920-015
Status: Received in OIRA	Previous ICR Reference No: 202311-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-26-0227
Title: [NIOSH] Health Hazard Evaluations/Technical Assistance and Emerging Problems
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/21/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved	01/31/2027
Responses	5,713	7,043
Time Burden (Hours)	1,745	2,267
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	5,713	7,043	-1,002	-328
Annual Time Burden (Hours)	1,745	2,267	-505	-17
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: This is a request for an Extension of Health Hazard Evaluation/Technical Assistance and Emerging Problems requesting three years of approval and 1745 burden hours.

Annual Cost to Federal Government: $5,313,105

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: Odion Clunis 770 488-0045 lta2@cdc.gov

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