OMB control number

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

OMB 0648-0824 · DOC/NOAA.

OMB 0648-0824

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.

The latest form for Office of Marine & Aviation Operations: Occupational Health, Safety, and Readiness Forms expires 2029-05-31 and can be found here.

OMB Details

NOAA Health Services Questionnaire (NHSQ)

Federal Enterprise Architecture: Workforce Management - Worker Safety

Form NF 57-10-01NOAA Health Services QuestionnaireFillable Fileable SignableForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.