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Federal forms, ICRs, and supporting documents

Information Collection Request

Evaluation of the Efficacy of Back Belts for the Prevention of Low Back Injury

ICR 199602-0920-002 · OMB 0920-0383 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6785 Evaluation of the Efficacy of Back Belts for the Prevention of Low Back Injury Migrated
ICR Details
0920-0383 199602-0920-002
Historical Active
HHS/CDC
Evaluation of the Efficacy of Back Belts for the Prevention of Low Back Injury
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/10/1996
Retrieve Notice of Action (NOA) 02/22/1996
This information collection request is approved for three years subject to the following term of clearance: 1. Participants in the survey receive improved notice regarding the voluntary nature of their participation. This notice should be listed as the first condition in the consent form, and it should clearly specify that should participants decide not to participate or to withdraw from the study, they will suffer no adverse consequences from their employer or from the agency. 2. Approved as amended by HHS' 5/10/96 memorandum to OMB.
  Inventory as of this Action Requested Previously Approved
05/31/1999 05/31/1999
7,917 0 0
3,325 0 0
0 0 0
This information is needed to determine whether back belts have a role in preventing back injuries to workers involved in manual handling tasks. The information will be used to estimate the risk of back injuries with and without belts controlling for a variety of personal and workplace risk factors. NIOSH will use the information to formulate policy recommendations with respect to the use of back belts in the workplace. The respondents are general merchandise store employees engaged in manual handling tasks.
None
None
No
1
IC Title Form No. Form Name
Evaluation of the Efficacy of Back Belts for the Prevention of Low Back Injury
  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 7,917 0 0 7,917 0 0
Annual Time Burden (Hours) 3,325 0 0 3,325 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
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.
02/22/1996