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BBP Exposure Control Plan Survery
Pilot Project to Evaluate the Use of Exposure Control Plans for Bloodborne Pathogens in Private Dental Practices
OMB: 0920-0994
IC ID: 208108
OMB.report
HHS/CDC
OMB 0920-0994
ICR 201308-0920-004
IC 208108
( )
Documents and Forms
Document Name
Document Type
Att D_Survey Instrument.docx
Other-WORD
Att K_Screen Shots.pdf
Other-Screen Shots
Att E_Pre-Survey Notification.docx
Att E_Pre-Survey Notification
IC Document
Att F_Invitation Email.docx
Att F_Invitation Email
IC Document
Att G_First Reminder Email.docx
Att G_First Reminder Email
IC Document
Att H_Second Reminder Email.docx
Att H_Second Reminder Email
IC Document
Att I_Final Reminder Email.docx
Att I_Final Reminder Email
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
BBP Exposure Control Plan Survery
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-WORD
Att D_Survey Instrument.docx
Yes
Yes
Fillable Printable
Other-Screen Shots
Att K_Screen Shots.pdf
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
20,287
Number of Respondents for Small Entity:
19,678
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
20,287
0
20,287
0
0
0
Annual IC Time Burden (Hours)
5,072
0
5,072
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Att E_Pre-Survey Notification
Att E_Pre-Survey Notification.docx
08/02/2013
Att F_Invitation Email
Att F_Invitation Email.docx
08/02/2013
Att G_First Reminder Email
Att G_First Reminder Email.docx
08/02/2013
Att H_Second Reminder Email
Att H_Second Reminder Email.docx
08/02/2013
Att I_Final Reminder Email
Att I_Final Reminder Email.docx
08/02/2013
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.