Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Forms and Documents

Document Name	Status
Survey for Natural sciences managers Form	New
Survey for Industrial production managers Form	New
Survey for Occupational health and safety specialists Form	New
Pre-call Telephone Script Form and Instruction	New
SSA 17NE revised 62017.doc Supporting Statement A	2017-06-28
Att 7- 16-EID-NR04 Determination 100616.pdf Supplementary Document	2017-06-26
Attachment 6.PromptingCallScript v2.docx Supplementary Document	2017-06-26
Attachment 5.Letter.email followup v2.docx Supplementary Document	2017-06-26
Attachment 4.Letter.email introduction v2.docx Supplementary Document	2017-06-26
FRN 0920-17NE.pdf Supplementary Document	2017-06-26
Attachment 1 29USC 669 Section 20(a).docx Supplementary Document	2017-06-26
SSB.DOC Supporting Statement B	2017-06-26

IC Document Collections

IC ID	Document Title	Status
227291	Survey for Natural sciences managers Form	New
227290	Survey for Industrial production managers Form	New
227289	Survey for Occupational health and safety specialists Form	New
227288	Pre-call Telephone Script Form and Instruction	New

ICR Details

OMB Control No: 0920-1202	ICR Reference No: 201706-0920-010
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-17NE
Title: Survey of Engineered Nanomaterial Occupational Safety and Health Practices
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/27/2017
	Date Received in OIRA: 07/18/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2019	24 Months From Approved
Responses	550	0	0
Time Burden (Hours)	108	0	0
Cost Burden (Dollars)	4,381	0	0

---

Abstract: This data collection will be used to describe companies handle engineered nanomaterials, the types of nanomaterials used, safety and health practices related to engineered nanomaterials, and to examine NIOSH's contributions to worker general and engineered nanomaterials- specific safety and health practices.

---

Authorizing Statute(s): US Code: 29 USC 669 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 13607	03/17/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 32703	07/17/2017
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Pre-call Telephone Script	none	Pre-call phone script
Survey for Occupational health and safety specialists	none	NIOSH Nanomaterials Survey
Survey for Industrial production managers	none	NIOSH Nanomaterials Survey
Survey for Natural sciences managers	none	NIOSH Nanomaterials Survey

---

ICR Summary of Burden

	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	550	0	0	550	0	0
Annual Time Burden (Hours)	108	0	0	108	0	0
Annual Cost Burden (Dollars)	4,381	0	0	4,381	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new ICR. Burden total is off by one hour due to rounding.

---

Annual Cost to Federal Government: $93,428

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 07/18/2017

---