OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

[NIOSH] Noise Exposures and Hearing Loss in the Oil and Gas Extraction Industry

ICR 202308-0920-005 · OMB 0920-1416 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form 0920-22DI Audiometry Testing Form and Instruction New Missing upstream
Form 0920-22DI Informed Consent Form and Instruction New Repair queued
Form 0920-22DI Noise and Hearing Questionnaire Form and Instruction New Repair queued
Attachment B_60_day FRN.pdf Supplementary Document Uploaded 2023-08-30 Repair queued
NIOSH IRB Conditional Approval Report.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Attachment J_Audiometric exam results notification letter.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Attachment I_Exposure results notification letter.docx Supplementary Document Uploaded 2023-08-23 Missing upstream
Attachment H_Sample forms.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Attachment E_Fact sheet.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Attachment D_Introductory recruitment letter.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Attachment A - Authorizing Legislation.docx Supplementary Document Uploaded 2023-08-23 Repair queued
Supporting Statement B_04-12-23.docx Supporting Statement B Uploaded 2023-08-23 Available
Supporting Statement A_04-12-23.docx Supporting Statement A Uploaded 2023-08-30 Repair queued
IC Document Collections
IC IDCollectionTypeStatusForm
261727 Audiometry Testing Form and Instruction New
261725 Informed Consent Form and Instruction New
261723 Noise and Hearing Questionnaire Form and Instruction New
ICR Details
202308-0920-005
Received in OIRA
HHS/CDC 0920-22DI
[NIOSH] Noise Exposures and Hearing Loss in the Oil and Gas Extraction Industry
New collection (Request for a new OMB Control Number)   No
Regular 08/30/2023
  Requested Previously Approved
36 Months From Approved
367 0
106 0
0 0
The proposed data collection will provide an initial step toward achieving a prioritized activity goals identified by the National Occupational Research Agenda (NORA) for workers in the Oil and Gas sector, specifically addressing goals related to hearing loss. NORA is a partnership program designed to stimulate innovative research and improve workplace practices. Unveiled in 1996, NORA has become a research framework for NIOSH and the nation. Diverse parties (industry, academia, government, insurance, etc.) collaborate to identify the most critical issues in workplace safety and health.
None
None
Not associated with rulemaking
  88 FR 30750 05/12/2023
88 FR 56825 08/21/2023
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 367 0 0 367 0 0
Annual Time Burden (Hours) 106 0 0 106 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This new collection seeks three years of approval for 106 annual burden hours.
$397,206
No
    No
    No
No
No
No
No
Odion Clunis 770 488-0045 [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.
08/30/2023