OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Validation of an Occupational Safety and Health Questionnaire

ICR 201202-0920-002 · OMB 0920-0936 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Attachment J.docx Supplementary Document Uploaded 2012-06-01 Available
Sup Sta B.doc Supporting Statement B Uploaded 2012-01-30 Repair queued
Att.C_IRB.docx Supplementary Document Uploaded 2012-01-30 Repair queued
Att. A_Authorizing Leg.docx Supplementary Document Uploaded 2012-01-30 Available
Att. B_60 day FRN.pdf Supplementary Document Uploaded 2012-01-30 Available
Supt Sta_11EP_Validation of OSHQ.doc Supporting Statement A Uploaded 2012-06-01 Available
IC Document Collections
IC IDCollectionTypeStatusForm
201002 Questionnaire Other-WORD New
201001 Opening Statement Other-WORD New
201000 Recuritment Script Other-WORD New
ICR Details
0920-0936 201202-0920-002
Historical Active
HHS/CDC
Validation of an Occupational Safety and Health Questionnaire
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/04/2012
Retrieve Notice of Action (NOA) 02/03/2012
  Inventory as of this Action Requested Previously Approved
06/30/2013 12 Months From Approved
1,800 0 0
810 0 0
0 0 0
In order to better understand some of the factors that may be contributing to the persistent occupational health disparities between Latino immigrant and American-born workers, NIOSH is developing a questionnaire that focuses on important occupational safety and health issues such as risk perception, risk acceptance and workplace coping strategies. The results of this project will benefit Latino immigrant workers by validating a method for increasing the effectiveness of their occupational safety and health training. The results of this project could be used by the federal agencies to determine guidelines for the development of culturally appropriate training materials for Latino workers.
US Code: 29 USC 669 Name of Law: OSH Act
  
None
Not associated with rulemaking
  76 FR 40918 07/12/2011
77 FR 4045 01/26/2012
No
3
IC Title Form No. Form Name
Recuritment Script
Opening Statement
Questionnaire
  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 1,800 0 0 1,800 0 0
Annual Time Burden (Hours) 810 0 0 810 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a NEW collection request for a new OMB Control Number.
$149,841
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Thelma Sims 4046394771
  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.
02/03/2012