OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Ingress/Egress and Work Boot Outsole Wear Investigation at Surface mines

ICR 201605-0920-011 · OMB 0920-1125 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
IngressEgress_SupSta B.docx Supporting Statement B Uploaded 2016-05-26 Available
Appendix O.docx Supplementary Document Uploaded 2016-05-20 Available
Appendix N.docx Supplementary Document Uploaded 2016-05-20 Repair queued
60-Day Published.pdf Supplementary Document Uploaded 2016-05-20 Available
Appendix A.docx Supplementary Document Uploaded 2016-05-20 Available
IngressEgress_SupSta A.docx Supporting Statement A Uploaded 2016-05-20 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221627 App L_Informed Consent form (Longitudinal boot outsole study) Other-WORD New
221626 App J_Talent and Consent Waiver Other-WORD New
221624 App I_Final Survey for Boot Wear Evaluation Other-WORD New
221623 App H_Survey for Recording Period for Boot Wear Evaluation (On-going) Other-WORD New
221622 App G_Preliminary Survey for Boot Wear Evaluation Other-WORD New
221621 App F_Screening Questionnaire Other-WORD New
221618 App E_Mine management interview guide Other-WORD New
221617 App D_Mobile equipment operator interview guide Other-WORD New
221614 App C_Mobile equipment operator focus group guide Other-WORD New
ICR Details
0920-1125 201605-0920-011
Historical Active
HHS/CDC 16GK
Ingress/Egress and Work Boot Outsole Wear Investigation at Surface mines
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 07/22/2016
Retrieve Notice of Action (NOA) 05/27/2016
  Inventory as of this Action Requested Previously Approved
07/31/2019 36 Months From Approved
3,100 0 0
643 0 0
0 0 0
Slips and falls of a person are the second largest contributor to non-fatal injuries in the U.S. mining industry. The objective of this work is to investigate how ingress egress systems on mobile equipment and personal protective footwear (boots) used by miners may lead to slips, trips and falls at stone, sand and gravel surface mining facilities.
PL: Pub.L. 95 - 164 2 Name of Law: Federal Mine Safety and Health Act of 1977
  
None
Not associated with rulemaking
  80 FR 77349 12/14/2015
81 FR 32756 05/24/2016
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 3,100 0 0 3,100 0 0
Annual Time Burden (Hours) 643 0 0 643 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection request.
$411,000
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.
05/27/2016