OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?

ICR 202206-0920-011 · OMB 0920-1367 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-21FC Consensus Sleep Diary Form New Repair queued
Form 0920-21FC Immediate Post-Training Survey Form and Instruction New Repair queued
Form 0920-21FC Post-Training (1, 3, and 6-months) Survey Form and Instruction New Repair queued
Form 0920-22FC Baseline Survey Form and Instruction New Available
Wong.Privacy Act Determination.docx Supplementary Document Uploaded 2022-06-16 Available
Wong.Privacy Act Checklist_.docx Supplementary Document Uploaded 2022-06-16 Repair queued
Wong.AppendixB.OMB.2021.4.30.docx Supplementary Document Uploaded 2022-06-16 Repair queued
Attachment G.Determination.CIO-HSC.docx Supplementary Document Uploaded 2022-06-16 Repair queued
Attachment F. Public Comments.docx Supplementary Document Uploaded 2022-06-16 Repair queued
Attachment A.OSH Act.docx Supplementary Document Uploaded 2022-06-16 Missing upstream
Supporting Statement B.docx Supporting Statement B Uploaded 2022-06-16 Available
Supporting Statement A.docx Supporting Statement A Uploaded 2022-06-23 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
254348 Actigraphy watch training Instruction New
254320 Actigraphy watch Fitting Other-Actigraphy watch fitting New
254319 Consensus Sleep Diary Form New
254318 Immediate Post-Training Survey Form and Instruction New
254317 Post-Training (1, 3, and 6-months) Survey Form and Instruction New
254265 Online Nurses Training Other-Webpage New
254264 Baseline Survey Form and Instruction New
ICR Details
202206-0920-011
Received in OIRA
HHS/CDC 0920-21FC
Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?
New collection (Request for a new OMB Control Number)   Yes
Regular 06/23/2022
  Requested Previously Approved
36 Months From Approved
350 0
341 0
0 0
The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH is committed to providing educational materials to employers and workers on workplace health and safety topics. Part of this commitment is regular evaluation of education products to determine if NIOSH-sponsored products are still successful at communicating and translating knowledge, impactful to worker health and safety. This evaluation is supported by NIOSH intramural NORA funding and will evaluate RN sleep health and wellbeing pre- and post-training.
None
None
Not associated with rulemaking
  86 FR 26517 05/14/2021
87 FR 35780 06/13/2022
Yes
  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 350 0 0 350 0 0
Annual Time Burden (Hours) 341 0 0 341 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH estimates a total annual response burden of 341 hours for this new information collection.
$276,000
Yes Part B of Supporting Statement
    Yes
    No
No
No
No
No
Odion Clunis 770 488-0045 [email protected]
  Yes
  Participants will complete the NIOSH Training for Nurses online. Surveys, open-ended questions, and sleep diary documentation will occur through CDC’s online REDCap system. Actigraphy watches will passively record sleep health data. Use of specified technology to collect data can decrease participant burden during data collection, as well as decrease data processing burden on the NIOSH research team.NIOSH will collect data from participants during five distinct data collection periods: baseline (prior to training), immediately post-training, and at 1-, 3-, and 6-months post-training. Data collection periods will be for 7-days at the baseline and 1-, 3-, and 6-months post-training. Immediate post-training data collection will be a one-time survey with open-ended questions.
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.
06/23/2022