Information Collection Request
[NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel
ICR 202502-0920-010 · OMB 0920-1449 · Active
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form 0920-24AL Post-shift Questionnaire |
Form | Unchanged | Available |
| Form 0920-24AL Post-shift Questionnaire |
Form | Unchanged | Repair queued |
| Form 0920-24AL Baseline Questionnaire |
Form | Modified | Available |
| Form 0920-24AL Baseline Questionnaire |
Form | Modified | Repair queued |
| Form 0920-24AL Informed Consent |
Form | Unchanged | Available |
| Form 0920-24AL Informed Consent |
Form | Unchanged | Repair queued |
| Form 0920-24AL Expression of Interest Form |
Form | Unchanged | Available |
| Form 0920-24AL Expression of Interest Form |
Form | Unchanged | Repair queued |
 OMB Control 0920-1449_Change Request form EO 14168.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-02-26 | Available |
| OMB Control 0920-1449_Change Request form EO 14168.docx |
Justification for No Material/Nonsubstantive Change | Uploaded 2025-02-26 | Missing upstream |
 Att. 10–IRB Approval Letter.pdf |
Supplementary Document | Uploaded 2024-10-07 | Available |
| 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 | Available |
| Att. 9–Letters of Support.docx |
Supplementary Document | Uploaded 2024-10-07 | Missing upstream |
| Att. 4–Recruitment Email.docx |
Supplementary Document | Uploaded 2024-10-07 | Available |
| 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 | Available |
| Att. 3–Study Recruitment Fact Sheet.docx |
Supplementary Document | Uploaded 2024-10-07 | Missing upstream |
| Att. 2–60-day FRN.pdf |
Supplementary Document | Uploaded 2024-10-07 | Available |
| Att. 2–60-day FRN.pdf |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| Att. 1–Authorizing Legislation.docx |
Supplementary Document | Uploaded 2024-10-07 | Repair queued |
| 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 | Available |
| Veterinary Surgical Smoke_SSB.docx |
Supporting Statement B | Uploaded 2024-10-07 | Repair queued |
| Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docx |
Supporting Statement A | Uploaded 2024-11-04 | Available |
| Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docx |
Supporting Statement A | Uploaded 2024-11-04 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 271430 |  Post-shift Questionnaire |
Form | Unchanged | |
| 271430 | Post-shift Questionnaire |
Form | Unchanged | |
| 271429 | Baseline Questionnaire |
Form | Modified | |
| 271429 | Baseline Questionnaire |
Form | Modified | |
| 271428 | Informed Consent |
Form | Unchanged | |
| 271428 | Informed Consent |
Form | Unchanged | |
| 271427 | Expression of Interest Form |
Form | Unchanged | |
| 271427 | Expression of Interest Form |
Form | Unchanged |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CDC |
| OMB Control No | 0920-1449 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202410-0920-008 |
| Agency Tracking No | 0920-25-0017 |
| Date Submitted to OIRA | 2025-03-28 |
| Requested Expiration Date | 1969-12-31 |