Survey for Industrial production managers

Survey of Engineered Nanomaterial Occupational Safety and Health Practices

Documents and Forms

Document Name Document Type
Form 0920-1202 Survey for Industrial production managers Form
0920-1202 NIOSH Nanomaterials Survey Att 8_Nano Survey.docx Form
Att 8a_Nano Survey (Screenshots).docx Nano Survey IC Document

Information Collection (IC) Details

IC Title:	Survey for Industrial production managers	Agency IC Tracking Number:	0920-1202

Is this a Common Form? No		IC Status: Modified

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
Form	0920-1202	NIOSH Nanomaterials Survey	Att 8_Nano Survey.docx		Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 75	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	75	75
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	1,247	1,247

Documents for IC

Title	Document	Date Uploaded
Nano Survey	Att 8a_Nano Survey (Screenshots).docx	08/27/2019

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