OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Enhancing Dialogue and Execution of Dust Reduction Behaviors through Workgroup Communication

ICR 201505-0920-010 · OMB 0920-1094 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Mine Worker Focus Group Worksheet Form New Repair queued
Controls to Reduce Dust Exposure Worksheet for Workers Form New Available
Pre-Post Mine Worker Survey Form New Repair queued
Controls to Reduce Exposure Worksheet for Management Form New Available
Att L IRB Approval Letter.pdf Supplementary Document Uploaded 2015-06-08 Repair queued
Att K_Informed Consent for Management.docx Supplementary Document Uploaded 2015-06-08 Available
Att J_Informed Consent for Workers.docx Supplementary Document Uploaded 2015-06-08 Repair queued
Att B 60 FRN.pdf Supplementary Document Uploaded 2015-06-08 Available
Att A - Federal Mine Safety Health act of 1977.doc Supplementary Document Uploaded 2015-06-08 Available
PDM Workgroups ICR Section B 12.29.15.docx Supporting Statement B Uploaded 2016-01-08 Available
PDM Workgroups ICR Section A 1 07 16docx.docx Supporting Statement A Uploaded 2016-01-08 Available
IC Document Collections
IC IDCollectionTypeStatusForm
216922 Mine Worker Focus Group Worksheet Form New
216921 Controls to Reduce Dust Exposure Worksheet for Workers Form New
216920 Mine Worker Focus Group Guide Instruction New
216919 Pre-Post Mine Worker Survey Form New
216918 Mine Worker Recruitment Script Instruction New
216917 Controls to Reduce Exposure Worksheet for Management Form New
216916 Worksite Leadership Interview and Focus Group Guide Instruction New
216915 Mine Recruitment and Participation Script Instruction New
ICR Details
0920-1094 201505-0920-010
Historical Active
HHS/CDC 15LB
Enhancing Dialogue and Execution of Dust Reduction Behaviors through Workgroup Communication
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 01/13/2016
Retrieve Notice of Action (NOA) 06/11/2015
Approved consistent with OMB’s understanding that NIOSH will use this study to make recommendations about communication approaches that facilitate feedback to miners. Information collected will not be employed to make recommendations about changes in miner behavior that is designed to ultimately reduce exposure.
  Inventory as of this Action Requested Previously Approved
01/31/2019 36 Months From Approved
515 0 0
163 0 0
0 0 0
Project purpose is to determine and assess the impact of a communication/technology pre/post longitudinal case study intervention on (1) workers' health/safety behaviors, including those that lower exposure to respirable coal dust; (2) workers' perceptions of their organizations' health and safety values; and (3) the types of health and safety management practices identified and utilized by mine site leaders to support workers' health/safety behaviors.
PL: Pub.L. 91 - 173 501 Name of Law: Federal Mine Safety and Health Act
   PL: Pub.L. 95 - 164 501 Name of Law: Federal Mine Safety and Health Act
  
None
Not associated with rulemaking
  80 FR 3598 01/23/2015
80 FR 31382 06/02/2015
No
  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 515 0 0 515 0 0
Annual Time Burden (Hours) 163 0 0 163 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR. Burden totals are slightly off due to rounding.
$58,251
Yes Part B of Supporting Statement
No
No
No
No
Uncollected
Shari Steinberg 404 639-4942 [email protected]
  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.
06/11/2015