[NIOSH] Formative Needs Assessment for Regional Worker Health Monitoring in a Rural Oil and Gas Basin: A Pilot

[OS] CDC/ATSDR Formative Research and Tool Development

OMB: 0920-1154

IC ID: 275347

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[NIOSH] Formative Needs Assessment for Regional Worker Health Monitoring in a Rural Oil and Gas Basin: A Pilot 0920-25-0059
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0920-25-0059 MVC_Priorities_Interview Att3_MVC_Priorities_Interview.docx Yes Yes Fillable Fileable
Form 0920-25-0059 IVMS_Interview Att4_IVMS_Interview.docx Yes Yes Fillable Fileable
Form 0920-25-0059 Data_Interview Att6_Data_Interview.docx Yes Yes Fillable Fileable

Health Public Health Monitoring

 

75 0
   
Individuals or Households
 
   0 %

  Requested 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 75 0 0 0 0 75
Annual IC Time Burden (Hours) 75 0 0 0 0 75
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Authorizing Legislation Att1_42_USC_6A.pdf 05/20/2025
Authorizing Legislation Att2_29_USC_669.pdf 05/20/2025
Draft Questionnaire Att5_IVMS_Draft_Questionnaire.docx 05/20/2025
SSA SSA.2022_ScottK_RegionalMonitoring_02242025_CLEAN.docx 05/20/2025
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