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Federal forms, ICRs, and supporting documents

Information Collection Request

A Research Program to Develop Optimal NIOSH Alerts in Farming

ICR 200305-0920-005 · OMB 0920-0501 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
6944 A Research Program to Develop Optimal NIOSH Alerts in Farming Migrated
ICR Details
0920-0501 200305-0920-005
Historical Active 200011-0920-005
HHS/CDC
A Research Program to Develop Optimal NIOSH Alerts in Farming
Reinstatement with change of a previously approved collection   No
Regular
Approved with change 07/14/2003
Retrieve Notice of Action (NOA) 05/29/2003
Approved. Pursuant to NIOSH agreement on 7/14/03 (memo attached) an incentive will not be provided for participation in this survey.
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004
400 0 0
133 0 0
0 0 0
Purpose: To determine communication variables that result in optimal levels of attitude change and behavioral compliance with the safety recommendation found in the NIOSH Alert "Preventing Injuries and Deaths from Skid-Steer Loaders".
None
None
No
1
IC Title Form No. Form Name
A Research Program to Develop Optimal NIOSH Alerts in Farming
  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 400 0 0 400 0 0
Annual Time Burden (Hours) 133 0 0 133 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.
05/29/2003