Information Collection Request

Office of Marine & Aviation Operations: Occupational Health, Safety, and Readiness Forms

ICR 202501-0648-001 · OMB 0648-0824 · Received in OIRA

Forms and Documents
DocumentTypeStatusAvailability
Form NF 57-10-02 Tuberculosis Screening Document Form and Instruction Unchanged Available
Form NF 57-10-01 NOAA Health Services Questionnaire (NHSQ) Form and Instruction Modified Missing upstream
0648-0824 30-day 90 FR 7081 2025-0121.pdf Supplementary Document Uploaded 2025-01-21 Available
0648-0824 Supporting Statement Part A.docx Supporting Statement A Uploaded 2025-01-14 Missing upstream
0648-0824 60-day 89 FR 88975 2024-1112.pdf Supplementary Document Uploaded 2025-01-14 Available
SORN COMMERCE-NOAA-22.pdf Supplementary Document Uploaded 2025-01-14 Available
NOAA Manual 209-10 Occupational Safety & Health Mgmt System.pdf Supplementary Document Uploaded 2025-01-14 Missing upstream
NOAA Policy 1008 - Tuberculosis Policy.pdf Supplementary Document Uploaded 2024-01-19 Repair queued
USCODE 33-chap18-sec941.pdf Supplementary Document Uploaded 2024-01-17 Repair queued
OMAO 1006 - Immunizations, Communicable Disease Protection, and Chemoprophylaxis.docx Supplementary Document Uploaded 2024-01-17 Available
IC Document Collections
IC IDCollectionTypeStatusForm
264469 Tuberculosis Screening Document Form and Instruction Unchanged
264468 NOAA Health Services Questionnaire (NHSQ) Form and Instruction Modified
ICR Details
0648-0824 202501-0648-001
Received in OIRA 202401-0648-010
DOC/NOAA
Office of Marine & Aviation Operations: Occupational Health, Safety, and Readiness Forms
Revision of a currently approved collection   No
Regular 01/21/2025
  Requested Previously Approved
36 Months From Approved 06/30/2027
1,000 1,000
167 167
0 0

This is a request for revision and extension of an existing collection currently in use with OMB approval. The NOAA Health Services Questionnaire NF 57-10-01 is being revised to include supportive questions to document previous sailing dates and clarifying medical information within NF 57-10-01 to ensure OMAO has a complete medical history for all personnel aboard NOAA vessels. These changes are minimal and not expected to increase the burden for completing this form. The National Oceanic and Atmospheric Administration's (NOAA) Office of Marine and Aviation Operations (OMAO) manages and operates NOAA's fleet of 15 research and survey ships and nine specialized environmental data-collecting aircraft . Comprised of civilians and officers of the NOAA Commissioned Officer Corps , OMAO also manages the NOAA Diving Program , NOAA Small Boat Program , and NOAA Uncrewed Systems Operations Center . The research and survey ships operated, managed, and maintained by OMAO comprise the largest fleet of federal research ships in the nation. Ranging from large oceanographic research vessels capable of exploring the world’s deepest ocean, to smaller ships responsible for charting the shallow bays and inlets of the United States, the fleet supports a wide range of marine activities including fisheries surveys, nautical charting, and ocean and climate studies. This collection covers the forms that are required to make medical readiness recommendations.

US Code: 33 USC 941 Name of Law: Navigation and Navigable Waters
  
None

Not associated with rulemaking

  89 FR 88975 11/12/2024
90 FR 7081 01/21/2025
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 1,000 1,000 0 0 0 0
Annual Time Burden (Hours) 167 167 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$528,481
No
    Yes
    Yes
No
No
No
No
MaryBeth Ryan 202 656-8310

  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.
01/21/2025