Information Collection Request

[NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction

ICR 202403-0920-015 · OMB 0920-1436 · Received in OIRA

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0920-1436 can be found here:

Forms and Documents

Document Name	Status
Form 0920-23HM SME Interview Guide Form	New
Form 0920-23HM Health and Safety Lead Interview Guide Form	New
Form 0920-23HM Manager Interview Guide Form and Instruction	New
Form 0920-23HM Worker Interview Guide Form	New
Form 0920-23HM Actigraphy* Form	New
Form 0920-23HM Daily Post-Shift Questionnaires Form	New
Form 0920-23HM Daily Pre-Shift Questionnaires Form	New
Form 0920-23HM Baseline Questionnaire Form	New
Attachment 8 - Field data collection log.docx Supplementary Document	2024-03-27
Attachment 7d - Consent form_Aim 2 and 3 - ES.docx Supplementary Document	2024-03-27
Attachment 7c - Consent form_Aim 2 and 3.docx Supplementary Document	2024-03-27
Attachment 7b - Consent form_Aim 1 -ES.docx Supplementary Document	2024-03-27
Attachment 7a - Consent form_Aim 1.docx Supplementary Document	2024-03-27
Attachment 6c - Recruitment Flyer_Fatigue OGE - ES.pdf Supplementary Document	2024-03-27
Attachment 6b - Recruitment Flyer_Fatigue OGE.pdf Supplementary Document	2024-03-27
Attachment 6a - Recruitment letter to companies.docx Supplementary Document	2024-03-27
Attachment 9 - IRB Approval.pdf Supplementary Document	2024-03-27
Attachment 1 - OSH Act of 1970.pdf Supplementary Document	2024-03-25
Statement B_Fatigue in OGE.docx Supporting Statement B	2024-03-25
Statement A_Fatigue in OGE.docx Supporting Statement A	2024-03-25

IC Document Collections

IC ID	Document Title	Status
266355	SME Interview Guide Form	New
266354	Health and Safety Lead Interview Guide Form	New
266353	Manager Interview Guide Form and Instruction	New
266352	Worker Interview Guide Form	New
266351	Actigraphy* Form	New
266350	Psychomotor Vigilance Test (PVT) – no form Other-No Form for this item	New
266349	Daily Post-Shift Questionnaires Form	New
266348	Daily Pre-Shift Questionnaires Form	New
266347	Baseline Questionnaire Form	New

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CDC
OMB Control No	0920-1436
Type of Information Collection	New collection (Request for a new OMB Control Number)
Agency Tracking No	0920-23HM
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31