Information Collection Request
[NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel
ICR 202410-0920-008 · OMB 0920-1449 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1449 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-24AL Post-shift Questionnaire |
Form | New | Repair queued |
| Form 0920-24AL Baseline Questionnaire |
Form | New | Repair queued |
| Form 0920-24AL Informed Consent |
Form | New | Repair queued |
| Form 0920-24AL Expression of Interest Form |
Form | New | Repair queued |
 Att. 10–IRB Approval Letter.pdf |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
 Att. 9–Letters of Support.docx |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| Att. 4–Recruitment Email.docx |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| Att. 3–Study Recruitment Fact Sheet.docx |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| Att. 2–60-day FRN.pdf |
Supplementary Document | Uploaded 2024-10-07 | Missing upstream |
| Att. 1–Authorizing Legislation.docx |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| Veterinary Surgical Smoke_SSB.docx |
Supporting Statement B | Uploaded 2024-10-07 | Repair queued |
| Veterinary Surgical Smoke_SSA.docx |
Supporting Statement A | Uploaded 2024-10-07 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 271430 |  Post-shift Questionnaire |
Form | New | |
| 271429 | Baseline Questionnaire |
Form | New | |
| 271428 | Informed Consent |
Form | New | |
| 271427 | Expression of Interest Form |
Form | New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1449 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | 0920-24AL |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |