Self-Reported General Work Environment and Health Questionnaire - Additional Data Collection

Musculoskeletal Disorder (MSD) Intervention Effectiveness in an Insurer-Supported Engineering Control Program

OMB: 0920-0907

IC ID: 215007

Information Collection (IC) Details

View Information Collection (IC)

Self-Reported General Work Environment and Health Questionnaire - Additional Data Collection
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction None Self Reported General Work Environment and Heath Questionnaire Attachment H-4.docx None Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

200 0
   
Private Sector Businesses or other for-profits
 
   95 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 50 0 50 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy