Employer and Employee Representative - Followback for Onsite Evaluations – Year 1

[NIOSH] Health Hazard Evaluations/Technical Assistance and Emerging Problems

OMB: 0920-0260

IC ID: 185722

Information Collection (IC) Details

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Employer and Employee Representative - Followback for Onsite Evaluations – Year 1 0920-0260
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0260 Followback Survey – After HHE Site Visit Attachment G Follwback Initial Site Visit Survey Form.docx N/A Yes Yes Fillable Fileable
Form and Instruction 0920-0260 Followback Survey – After HHE - Final Report Attachment H After Final Report Followback Survey Form.docx N/A Yes Yes Fillable Fileable

Workforce Management Worker Safety

Occupational Health Epidemiological Studies  76 FR 34706

140 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   50 %

  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 140 0 46 0 0 94
Annual IC Time Burden (Hours) 23 0 -1 0 0 24
Annual IC Cost Burden (Dollars) 0 0 -803 0 0 803

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