Appx M_ Consent Form Environment Chamber (M/FF/CW)

[NIOSH] Heat-related Changes in Cognitive Performance

OMB: 0920-1331

IC ID: 243410

Information Collection (IC) Details

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Appx M_ Consent Form Environment Chamber (M/FF/CW) 0920-1331
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-1331 Consent to be in a Research Study Health-related changes in cognitive performance Appendix M Consent form environmental chamber.docx Yes Yes Fillable Fileable Signable

Workforce Management Worker Safety

 

15 0
   
Individuals or Households
 
   100 %

  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 15 0 0 0 0 15
Annual IC Time Burden (Hours) 8 0 0 0 0 8
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Appx J_ Recruitment Script - Chamber Appendix J Recruitment Script - chamber.docx 10/30/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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