Accommodation of Noise-Exposed, Hearing-Impaired Workers

ICR 200407-0920-002

OMB: 0920-0655

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
7124
Migrated
ICR Details
0920-0655 200407-0920-002
Historical Active
HHS/CDC
Accommodation of Noise-Exposed, Hearing-Impaired Workers
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 11/15/2004
Retrieve Notice of Action (NOA) 07/14/2004
Approved consistent with CDC memo submitted to OMB on 11/12/04. CDC will provide OMB with a report addressing study data and results upon completion of the collection.
  Inventory as of this Action Requested Previously Approved
09/30/2006 09/30/2006
656 0 0
100 0 0
0 0 0

This study will evaluate the effectiveness of an evaluation and intervention protocol that can be used to accommodate the special needs of noise-exposed, hearing-impaired workers so that they can continue to perform their jobs safely while preventing additional hearing loss. The primary purpose of the evaluation and intervention protocol is to maximize speech intelligibility in noise while minimizing the risk of additional noise-induced hearing loss in the workplace. Specifically, comparisons will be made between the study participant's current HPD and the HPD identified as the best choice by the evaluation protocol and....

None
None


No

1
IC Title Form No. Form Name
Accommodation of Noise-Exposed, Hearing-Impaired Workers

  Total Approved 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 656 0 0 656 0 0
Annual Time Burden (Hours) 100 0 0 100 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
07/14/2004


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