[NIOSH] Advancing Equitable PPE Protection for Women Working in Hazardous Environments

Administration for Strategic Preparedness and Response—Office of Strategy, Policy, Planning, and Requirements Generic Clearance for the National Strategy for a Resilient Public Health Supply Chain

Documents and Forms

Document Name Document Type
Form 0990-0488 [NIOSH] Advancing Equitable PPE Protection for Women Working in Hazardous Environments Form and Instruction
0990-0488 Focus Group Guide [All Respondent Categories] 8. genIC PRA Request - Appendix E Focus group guide.docx Form and Instruction
4. genIC PRA Request - Appendix A Participant Recruitment Script.docx Participant Recruitment Script IC Document
5. genIC PRA Request - Appendix B Organizational Recruitment Script.docx Organizational Recruitment Script IC Document
6. genIC PRA Request - Appendix C Electronic Consent Script.docx Electronic Consent Script IC Document
7. genIC PRA Request - Appendix D Informed Consent.docx Informed Consent IC Document
1. genIC PRA Request - Equitable PPE for Women - v2.1 (CLEAN).docx 0990-0488 GenIC Request Memo IC Document

Information Collection (IC) Details

IC Title:	[NIOSH] Advancing Equitable PPE Protection for Women Working in Hazardous Environments	Agency IC Tracking Number:	0990-0488-24GA

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
Form and Instruction	0990-0488	Focus Group Guide [All Respondent Categories]	8. genIC PRA Request - Appendix E Focus group guide.docx	N/A	No		Fillable Fileable

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 700	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	700	700
Annual IC Time Burden (Hours)	700	700
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Participant Recruitment Script	4. genIC PRA Request - Appendix A Participant Recruitment Script.docx	05/23/2024
Organizational Recruitment Script	5. genIC PRA Request - Appendix B Organizational Recruitment Script.docx	05/23/2024
Electronic Consent Script	6. genIC PRA Request - Appendix C Electronic Consent Script.docx	05/23/2024
Informed Consent	7. genIC PRA Request - Appendix D Informed Consent.docx	05/23/2024
0990-0488 GenIC Request Memo	1. genIC PRA Request - Equitable PPE for Women - v2.1 (CLEAN).docx	05/23/2024

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