OMB control number

[NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Settings

OMB 0920-1441 · HHS/CDC.

OMB 0920-1441

NIOSH has submitted a request for OMB approval of a New GENERIC ICR [0920-1441]. The goal of this GENERIC mechanism is to enable CDC/NIOSH to assess the effectiveness of a sub-set of automated direct reading methodologies, sensor technologies, and robotics technologies (hereafter referred to as “technologies”) that are used to protect worker safety and health. This Non-Substantive Change Request is submitted to align language used in a previously approved GenIC (0920-1441 - Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting) to align with recently issued EO. There is no change to approved burden hours.

The latest form for [NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Settings expires 2027-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form Post Test Question 0920-26-0012 Form
Form Demographics/ cons 0920-26-0012 Form
Form Informed Consent 0920-26-0012 Form
Form Motion Sickness pr 0920-26-0012 Form
Form 0920-25CW Safety and Trust Robots Form
Form 0920-25CW Record of Test Subject Participation Form
Form 0920-25CW Robot Attribute Ratings Form
Form 0920-25CW Post-Interaction Questionnaire Form
Form 0920-25CW Comfort Level Questionnaire Form
Form 0920-25CW Robot Experience Questionnaire Form
Form 0920-1441 Demographic Survey_12JUN2025 Form
Form 0920-1441 Informed Consent Form_12JUN2025 Form
Form 0920-25CW Participant Recruitment Form
Form 0920-25CW Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Informed Consent (amended) Form and Instruction
Demographic Survey (Amended) Form and Instruction
Form 0920-1441 Participant Recruitment Questionnaire Form and Instruction
Form 0920-1441 Demographic Survey Form and Instruction
Form 0920-1441 Robot Evaluation Questionnaire Form and Instruction
Form 0920-1441 Post Condition Questionnaire:Interface Modality, Safety, and Trust Form and Instruction
Form 0920-1441 Installation/Set-Up of Virtual Reality Controller Form and Instruction
Form 0920-1441 Virtual Reality Sickness Questionnaire Form and Instruction
Form 0920-1441 Virtual Reality Experience Questionnaire Form and Instruction
Form 0920-1441 Robot Experience Questionnaire Form and Instruction
Form 0920-1441 Informed Consent Form and Instruction
Form 0920-1441 [NIOSH] Evaluation of robot to human communication designs Form and Instruction
Form 0920-1441 Post-Test Questionnaire Form and Instruction
Form 0920-1441 Robot Trust Questionnaire Form and Instruction
Form 0920-1441 NASA Task Load Index Form and Instruction
Form 0920-1441 Virtual Reality Sickness Questionnaire Form and Instruction
Form 0920-1441 Construction_Demolition Robot Experience Questionnaire Form and Instruction
Form 0920-1441 Informed Consent Form and Instruction
Form 0920-1441 [NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
SSA_NIOSH_Lab with VR Pkg_Final.docx Supplementary Document
SSA_NIOSH_Lab with VR Pkg_Final.docx Supplementary Document
SSA_NIOSH_Lab with VR Pkg_Change_Track.docx Supplementary Document
SSA_NIOSH_Lab with VR Pkg_Change_Track.docx Supplementary Document
SSA_NIOSH_Lab with VR Pkg_Change_Clean.docx Supplementary Document
SSA_NIOSH_Lab with VR Pkg_Change_Clean.docx Supplementary Document
NIOSH genIC_0920-1441_Request to Debit Hours.docx Supplementary Document
NIOSH genIC_0920-1441_Request to Debit Hours.docx Supplementary Document
Change request justification 0920-1441.docx Justification for No Material/Nonsubstantive Change
Change request justification 0920-1441.docx Justification for No Material/Nonsubstantive Change
Attachment C - FRN_60-day 2024-08596.pdf Supplementary Document
Attachment C - FRN_60-day 2024-08596.pdf Supplementary Document
Attachment B_MSHA Act 1977.pdf Supplementary Document
Attachment B_MSHA Act 1977.pdf Supplementary Document
Attachment A - OSH Act 1970.pdf Supplementary Document
Attachment A - OSH Act 1970.pdf Supplementary Document
2. SSB_NIOSH_Lab with VR Package_5.31.24.docx Supporting Statement B
2. SSB_NIOSH_Lab with VR Package_5.31.24.docx Supporting Statement B
1. SSA_NIOSH_Lab with VR Pkg_5.31.24_final jjb_NIOSH_response_final.docx Supporting Statement A
1. SSA_NIOSH_Lab with VR Pkg_5.31.24_final jjb_NIOSH_response_final.docx Supporting Statement A
[NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Setting Form
[NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Setting Form
[NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Setting Form
[NIOSH] Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in Lab/Simulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
Direct Reading Methodologies, Sensors, and Robotics Technology Assessment in LabSimulator-based Setting Form
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Evaluation of robot to human communication designs Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Form and Instruction
[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators Other-Installation_Removal of Wearable Markers

All Historical Document Collections

202506-0920-001	No material or nonsubstantive change to a currently approved collection	2025-06-02
202502-0920-005 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-03-28
202410-0920-024	No material or nonsubstantive change to a currently approved collection	2024-10-24
202407-0920-004 Approved with change	New collection (Request for a new OMB Control Number)	2024-08-06

OMB Details

[NIOSH] Identification of Hazards and Risk Factors for Demolition Robot Operators

Federal Enterprise Architecture: Health - Consumer Health and Safety

Form 0920-1441	Virtual Reality Sickness Questionnaire	N/A	Form and instruction
Form 0920-1441	Construction_Demolition Robot Experience Questionnaire	N/A	Form and instruction
Form 0920-1441	Informed Consent	N/A	Form and instruction
Form 0920-1441	Post-Test Questionnaire	N/A	Form and instruction
Form 0920-1441	Robot Trust Questionnaire	N/A	Form and instruction
Form 0920-1441	NASA Task Load Index	N/A	Form and instruction

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