OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey

ICR 202201-0920-018 · OMB 0920-1343 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-21AN Non-respondent Questionnaire Form and Instruction Unchanged Repair queued
Form 0920-21AN CSA_Survey Form and Instruction Unchanged Missing upstream
Form 0920-21AN RBCD_Survey Form and Instruction Unchanged Available
Form 0920-21AN Maintenance Technician_ Survey Form and Instruction Unchanged Repair queued
Form 0920-21AN Pilot Survey Form and Instruction Unchanged Repair queued
Form 0920-21AN Operator Survey Form and Instruction Unchanged Repair queued
Attachment 14_Script for Interviewers_operators.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 13_Script for Interviewers_workers.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 12. NIOSH email reminder_Operators 01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 11. NIOSH email reminder_Workers 01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 9_Survey Advertising Flyer.pdf Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 7b. NIOSH reminder postcard_workers_01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 7a. NIOSH reminder postcard_operators_01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 6b.Workers Consent Form 01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 6a. NIOSH operators consent form 01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 5b. Recruitment Letter_Workers_01.2022.docx Supplementary Document Uploaded 2022-01-27 Repair queued
Attachment 5a Recruitment Letter _Operators01.2022 .docx Supplementary Document Uploaded 2022-01-27 Repair queued
Request for Nonsubstantive Change #0920-1343_.docx Justification for No Material/Nonsubstantive Change Uploaded 2022-01-27 Missing upstream
Supporting Statement B.docx Supporting Statement B Uploaded 2021-03-25 Repair queued
SSA 1.18.22.docx Supporting Statement A Uploaded 2022-01-27 Repair queued
Privacy Act Checklist.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 9.pdf Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 8a.pdf Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 7a.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 6b.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 6a.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 5b.docx Supplementary Document Uploaded 2021-03-25 Missing upstream
Attachment 5a.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 4.docx Supplementary Document Uploaded 2021-03-25 Repair queued
Attachment 1.docx Supplementary Document Uploaded 2021-03-25 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
246444 Non-respondent Questionnaire Form and Instruction Unchanged
246443 CSA_Survey Form and Instruction Unchanged
246442 RBCD_Survey Form and Instruction Unchanged
246441 Maintenance Technician_ Survey Form and Instruction Unchanged
246440 Pilot Survey Form and Instruction Unchanged
246439 Operator Survey Form and Instruction Unchanged
ICR Details
0920-1343 202201-0920-018
Received in OIRA 202103-0920-009
HHS/CDC 0920-22BZ
Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey
No material or nonsubstantive change to a currently approved collection   Yes
Regular 01/27/2022
  Requested Previously Approved
07/31/2023 07/31/2023
3,136 3,136
774 774
0 0
The primary goal of this study is to collect information on injuries and illnesses among workers in the aviation industry in Alaska. Second, to provide information to identify risk factors for adverse illness and injury outcomes. Third, the survey will provide information to the Alaska aviation industry stakeholders to assist in identifying intervention strategies to mitigate identified and perceived safety and health needs and concerns, and provide information to the research community to allow generation of hypotheses and prioritize future research in health and safety topics in this workforce.
US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act
  
None
Not associated with rulemaking
  85 FR 82478 12/18/2020
86 FR 14918 03/19/2021
No
  Total Request 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 3,136 3,136 0 0 0 0
Annual Time Burden (Hours) 774 774 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The new collection aims to collect information on injuries and illness among workers in the aviation industry in Alaska. The request is for two years of approval and a total of 1,547 burden hours. Therefore the estimated annual burden hours are 774.
$105,877
Yes Part B of Supporting Statement
    No
    No
No
No
No
No
Odion Clunis 770 488-0045 [email protected]
  Yes
  NIOSH is requesting a non-substantive change request for 0920-1343 to add updated information to the informed consent, recruitment and reminder documents, and add a script for follow-up telephone calls. These changes are necessary as we have finalized telephone and email contact information for questions from operators and workers, the time to complete the surveys is added to the recruitment letters, and we have added an additional researcher who will be involved in the data collection, analysis, and reporting process.
Agency/Sub Agency RCF ID RCF Title RCF Status IC Title
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.
01/27/2022