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Formative Assessment of the Information Needs to Prevent Work-related Musculoskeletal Disorders and Falls among Aging Retail Workers
CDC/ATSDR Formative Research and Tool Development
OMB: 0920-1154
IC ID: 236579
OMB.report
HHS/CDC
OMB 0920-1154
ICR 201610-0920-009
IC 236579
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:
2023-01-31 - Extension without change of a currently approved collection
2019-12-23 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Protocol_older_retail_workers_rev_06172019_HK.docx
Other-Focus group guide
Protocol_younger_retail_workers_06_17_2019_HK.docx
Other-Focus group guide
Protocol_Retail_Employers_rev_06172019_HK.docx
Other-Focus group guide
GenICRequest_Focus groups_Retail workers_6.18.19.docx
GenIC Request
IC Document
Statement A_6_17_2019_6.18.19.docx
Supporting statement A
IC Document
Statement B_6_12_2019_HK.docx
Supporting statement B
IC Document
DSI IRB_Nonresearch_Kaur_Aging retail workers_2019 June 6.pdf
IRB determination
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Formative Assessment of the Information Needs to Prevent Work-related Musculoskeletal Disorders and Falls among Aging Retail Workers
Agency IC Tracking Number:
0920-1154-19BHB
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-Focus group guide
Protocol_older_retail_workers_rev_06172019_HK.docx
Yes
No
Paper Only
Other-Focus group guide
Protocol_younger_retail_workers_06_17_2019_HK.docx
Yes
No
Paper Only
Other-Focus group guide
Protocol_Retail_Employers_rev_06172019_HK.docx
Yes
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
54
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
54
0
54
0
0
0
Annual IC Time Burden (Hours)
81
0
81
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
GenIC Request
GenICRequest_Focus groups_Retail workers_6.18.19.docx
06/20/2019
Supporting statement A
Statement A_6_17_2019_6.18.19.docx
06/20/2019
Supporting statement B
Statement B_6_12_2019_HK.docx
06/20/2019
IRB determination
DSI IRB_Nonresearch_Kaur_Aging retail workers_2019 June 6.pdf
06/20/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.