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Federal forms, ICRs, and supporting documents

Information Collection Request

COMPARISON OF HEARING THRESHOLDS FROM IMPULSE AND CONTINUOUS NOISE EXPOSED POPULATIONS

ICR 198710-0920-005 · OMB 0920-0207 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
110859 COMPARISON OF HEARING THRESHOLDS FROM IMPULSE AND CONTINUOUS NOISE EXPOSED POPULATIONS Migrated
ICR Details
0920-0207 198710-0920-005
Historical Active
HHS/CDC
COMPARISON OF HEARING THRESHOLDS FROM IMPULSE AND CONTINUOUS NOISE EXPOSED POPULATIONS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/19/1988
Retrieve Notice of Action (NOA) 10/22/1987
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989
68 0 0
143 0 0
0 0 0
THIS RESEARCH STUDY WILL EXAMINE WHETHER WORKERS EXPOSED TO A PARTICULAR LEVEL OF CONTINUOUS NOISE EXPERIENCE MORE OR LESS HEARING LOSS THAN A GROUP OF WORKERS EXPOSED TO THE EQUIVALENT LEVEL IMPULSIVE NOISE. RESPONDENT MALE WORKERS WILL COMPLETE A NOISE AND MEDICAL HISTORY QUESTIONNAIRE, AIR-CONDUCTION AUDIOMETRIC TEST AND OTOSCOPIC EXAMINATION.
None
None
No
1
IC Title Form No. Form Name
COMPARISON OF HEARING THRESHOLDS FROM IMPULSE AND CONTINUOUS NOISE EXPOSED POPULATIONS
  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 68 0 0 68 0 0
Annual Time Burden (Hours) 143 0 0 143 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
10/22/1987