Assessing the Impact of Organizational and Personal Antecedents on Proactive Health/Safety Decision Making

Forms and Documents

Document Name	Status
Request for Nonsubstantive Change 0920-1104.docx Justification for No Material/Nonsubstantive Change	2016-05-19
30d (2) FRN published..pdf Supplementary Document	2016-01-14
Attachment G_IRB Exemption.pdf Supplementary Document	2015-07-20
Attachment B_60 Day FRN.pdf Supplementary Document	2015-07-20
Attachment A_MSHA.doc Supplementary Document	2015-07-20
SupSta B_022316.docx Supporting Statement B	2016-02-23
SupSta A_022316.docx Supporting Statement A	2016-02-23

IC Document Collections

IC ID	Document Title	Status
217542	Mine Worker Oral Consent Script Other-WORD	Modified
217541	Mine Worker Recruitment Script Other-WORD	Modified
217540	Mine Worker Survey Other-Screenshots	Modified

ICR Details

OMB Control No: 0920-1104	ICR Reference No: 201605-0920-010
Status: Historical Active	Previous ICR Reference No: 201507-0920-010
Agency/Subagency: HHS/CDC	Agency Tracking No: 15BM
Title: Assessing the Impact of Organizational and Personal Antecedents on Proactive Health/Safety Decision Making
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/25/2016
	Date Received in OIRA: 05/20/2016
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2019	02/28/2019	02/28/2019
Responses	1,208	0	810
Time Burden (Hours)	202	0	134
Cost Burden (Dollars)	0	0	0

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Abstract: NIOSH proposes a project that seeks to empirically understand the factors and conditions that contribute to mine workers' safe decisions (or lack thereof) while completing job tasks. NIOSH identified seven worker perception-based 'organizational values' and four 'personal characteristics' that are presumed to be important in fostering knowledge, motivation, proactive behaviors, and safety outcomes. Because these worker perception-based constructs have a theoretical and empirical history, psychometrically tested items exist for each of them. A short survey, allows for prioritization of the antecedents that have the most influence on proactive behaviors. Data collection will take place with approximately 800 mine workers over three years. Upon collection of the data, dominance/relative weights analysis will be used as the data analysis method to statistically rank order the importance of predictors in numerous regression contexts. Safety proactivity and safety compliance will serve as the dependent variables in these regression analyses. Findings will be used to improve safety and health organizational values and focus of mine organizations, as executed through their health and safety management system for mitigating health and safety risks at their mine site. Respondents targeted for this study include any active mine worker at a mine site, both surface and underground. It is estimated that a sample of up to 800 surveys will be collected at various mining operations which have agreed to participate. All participants will be between the ages of 18 and 75, currently employed, and living in the U.S. There is no cost to respondents other than their time.

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Authorizing Statute(s): PL: Pub.L. 91 - 173 501 Name of Law: Federal Mine Safety & Helath Act of 1977
   PL: Pub.L. 109 - 280 501 Name of Law: Federal Mine Safety & Health of 1977
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 62624	10/20/2014
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 1949	01/14/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

IC Title	Form No.	Form Name
Mine Worker Recruitment Script
Mine Worker Oral Consent Script
Mine Worker Survey

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	1,208	810	0	398	0	0
Annual Time Burden (Hours)	202	134	0	68	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: NIOSH is requesting a change request for an error pertaining to the NOA for 0920-1104 which displays a decrease in the burden hours for this ICR which was approved on 02/24/2016. The information in the NOA does not align with the burden table that was included in the original Supporting Statement which was approved by OMB. Below is the original table that was submitted to OMB along with the information that appears in the attached NOA.

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Annual Cost to Federal Government: $35,362

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? Yes

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/20/2016

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