Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?

Forms and Documents

Document Name	Status
Form 0920-21FC Consensus Sleep Diary Form	New
Form 0920-21FC Immediate Post-Training Survey Form and Instruction	New
Form 0920-21FC Post-Training (1, 3, and 6-months) Survey Form and Instruction	New
Form 0920-22FC Baseline Survey Form and Instruction	New
Wong.Privacy Act Determination.docx Supplementary Document	2022-06-16
Wong.Privacy Act Checklist_.docx Supplementary Document	2022-06-16
Wong.AppendixB.OMB.2021.4.30.docx Supplementary Document	2022-06-16
Attachment G.Determination.CIO-HSC.docx Supplementary Document	2022-06-16
Attachment F. Public Comments.docx Supplementary Document	2022-06-16
Attachment A.OSH Act.docx Supplementary Document	2022-06-16
Supporting Statement B.docx Supporting Statement B	2022-06-16
Supporting Statement A.docx Supporting Statement A	2022-06-23

IC Document Collections

IC ID	Document Title	Status
254348	Actigraphy watch training Instruction	New
254320	Actigraphy watch Fitting Other-Actigraphy watch fitting	New
254319	Consensus Sleep Diary Form	New
254318	Immediate Post-Training Survey Form and Instruction	New
254317	Post-Training (1, 3, and 6-months) Survey Form and Instruction	New
254265	Online Nurses Training Other-Webpage	New
254264	Baseline Survey Form and Instruction	New

ICR Details

OMB Control No:	ICR Reference No: 202206-0920-011
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: HHS/CDC	Agency Tracking No: 0920-21FC
Title: Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  Yes
Type of Review Request: Regular	Date Submitted to OIRA: 06/23/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	350	0
Time Burden (Hours)	341	0
Cost Burden (Dollars)	0	0

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Abstract: The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH is committed to providing educational materials to employers and workers on workplace health and safety topics. Part of this commitment is regular evaluation of education products to determine if NIOSH-sponsored products are still successful at communicating and translating knowledge, impactful to worker health and safety. This evaluation is supported by NIOSH intramural NORA funding and will evaluate RN sleep health and wellbeing pre- and post-training.

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Authorizing Statute(s): None

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:
	86 FR 26517	05/14/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 35780	06/13/2022
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 7

IC Title	Form No.	Form Name
Actigraphy watch Fitting
Actigraphy watch training
Baseline Survey	0920-22FC	Attachment D.Baseline Survey
Consensus Sleep Diary	0920-21FC	Attachment E.Consensus Sleep Diary
Immediate Post-Training Survey	0920-21FC	Attachment D.2 SURVEY FOR IMMEDIATE POST-TRAINING
Online Nurses Training
Post-Training (1, 3, and 6-months) Survey	0920-21FC	Post-Training (1, 3, and 6-months) Survey

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ICR Summary of Burden

	Total Request	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	350	0	0	350	0	0
Annual Time Burden (Hours)	341	0	0	341	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: The purpose of this project is to evaluate the effectiveness of the NIOSH online “Training for Nurses on Shift Work and Long Work Hours”. NIOSH estimates a total annual response burden of 341 hours for this new information collection.

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Annual Cost to Federal Government: $276,000

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

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     Yes

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

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? No

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Common Form ICR:  Yes

Description/Changes for Common Form Usage:  Participants will complete the NIOSH Training for Nurses online. Surveys, open-ended questions, and sleep diary documentation will occur through CDC’s online REDCap system. Actigraphy watches will passively record sleep health data. Use of specified technology to collect data can decrease participant burden during data collection, as well as decrease data processing burden on the NIOSH research team.NIOSH will collect data from participants during five distinct data collection periods: baseline (prior to training), immediately post-training, and at 1-, 3-, and 6-months post-training. Data collection periods will be for 7-days at the baseline and 1-, 3-, and 6-months post-training. Immediate post-training data collection will be a one-time survey with open-ended questions.

Approved RCFs using this ICR

Agency/Sub Agency	RCF ID	RCF Title	RCF Status	IC Title

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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: 06/23/2022

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