Pittsburgh Sleep Quality Index

Online Training for Law Enforcement to Reduce Risks Associated with Shift Work and Long Work Hours

Documents and Forms

Document Name Document Type
Pittsburgh Sleep Quality Index Form and Instruction
C5 - Pittsburgh Sleep Quality Survey Appendix C- surveys and diaries (1).docx Form and Instruction
C5 - Pittsburgh Sleep Quality Survey Appendix C- surveys and diaries (1).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Pittsburgh Sleep Quality Index	Agency IC Tracking Number:	0920-1278

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 and Instruction	na	C5 - Pittsburgh Sleep Quality Survey	Appendix C- surveys and diaries (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	120	120
Annual IC Time Burden (Hours)	4	4
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.