OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Survey of Musculoskeletal Disorders Prevention Tools/Methods: 10 Year Follow-up

ICR 201609-0920-013 · OMB 0920-1177 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Practicing Ergonomist Survey of Tools and Methods Form New Available
Att. C. IRB approval Letter.pdf Supplementary Document Uploaded 2016-09-21 Available
Att. B - FRN 60 day.pdf Supplementary Document Uploaded 2016-09-21 Available
Attachment A Authorizing Legislation.docx Supplementary Document Uploaded 2016-09-21 Available
Part B supporting statement - CPE survey.doc Supporting Statement B Uploaded 2016-09-21 Available
Part A supporting statement CPE survey updated 092016_BDL.docx Supporting Statement A Uploaded 2016-09-21 Available
IC Document Collections
IC IDCollectionTypeStatusForm
223616 Practicing Ergonomist Survey of Tools and Methods Form New
ICR Details
0920-1177 201609-0920-013
Historical Active
HHS/CDC 16AMV
Survey of Musculoskeletal Disorders Prevention Tools/Methods: 10 Year Follow-up
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 04/12/2017
Retrieve Notice of Action (NOA) 09/27/2016
  Inventory as of this Action Requested Previously Approved
04/30/2018 12 Months From Approved
938 0 0
469 0 0
0 0 0
NIOSH will administer a web-based survey of ergonomics professionals to gather information on the types of basic tools, direct and observational measurement techniques, and software used in the field of Ergonomics to assess workplace risk factors for musculoskeletal disorders. Results will be use to understand the prevalence of use of tools and methods by practitioners within the discipline.
PL: Pub.L. 91 - 596 20-122 Name of Law: Occupational Safety and Health Act of 1970
  
None
Not associated with rulemaking
  81 FR 36547 06/07/2016
81 FR 66026 09/26/2016
No
1
IC Title Form No. Form Name
Practicing Ergonomist Survey of Tools and Methods none Egonomist Survey of Tools and Methods
  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 938 0 0 938 0 0
Annual Time Burden (Hours) 469 0 0 469 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new ICR.
$81,697
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.
09/27/2016