Paper-based Initial Survey

Gulf Oil Spill Worker Rostering Survey

OMB: 0920-0851

IC ID: 192873

Information Collection (IC) Details

View Information Collection (IC)

Paper-based Initial Survey
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form No number Paper-based Survey NIOSH_Intake_Survey_052810.doc Yes No Paper Only

Health Illness Prevention

 

6,500 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,500 0 0 0 0 6,500
Annual IC Time Burden (Hours) 541 0 -1,084 0 0 1,625
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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