[NIOSH] Evaluation of Healthcare Worker Mental Health Campaign

ICR 202404-0920-001

OMB: 0920-1415

Federal Form Document

Forms and Documents

Document Name	Status
Hospital Leader - Follow-Up Survey Form and Instruction	Modified
Healthcare Worker - Follow-Up Survey Form and Instruction	Modified
0920-1415_Evaluation of Healthcare Worker Mental Health Campaign_Revision Justification.docx Justification for No Material/Nonsubstantive Change	2024-04-01
2b Responses to Federal Register Notice.docx Supplementary Document	2023-08-03
6 Invitation and Reminder Emails.docx Supplementary Document	2023-08-03
3 Non-Research Determination.pdf Supplementary Document	2023-08-03
2a Federal Register Notice.pdf Supplementary Document	2023-08-03
1b Dr. Lorna Breen Health Care Provider Protection Act.pdf Supplementary Document	2023-08-03
1a H.R.1319 American Rescue Plan Act of 2021.pdf Supplementary Document	2023-08-03
Supporting Statement B_NIOSH Health Worker MH Campaign_2.16.23.docx Supporting Statement B	2023-08-03
Supporting Statement A_NIOSH Health Worker MH Campaign_2.16.22.docx Supporting Statement A	2023-08-03

IC Document Collections

IC ID	Document Title	Status
261471	Hospital Leader - Follow-Up Survey Form and Instruction	Modified
261470	Healthcare Worker - Follow-Up Survey Form and Instruction	Modified