Information Collection Request

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

ICR 202503-0920-018 · OMB 0920-1436 · Active

Forms and Documents

Document Name	Status
Form 0920-23HM SME Interview Guide Form	Unchanged
Form 0920-23HM SME Interview Guide Form	Unchanged
Form 0920-23HM Health and Safety Lead Interview Guide Form	Unchanged
Form 0920-23HM Health and Safety Lead Interview Guide Form	Unchanged
Form 0920-23HM Manager Interview Guide Form and Instruction	Unchanged
Form 0920-23HM Manager Interview Guide Form and Instruction	Unchanged
Form 0920-23HM Worker Interview Guide Form	Unchanged
Form 0920-23HM Worker Interview Guide Form	Unchanged
Form 0920-23HM Actigraphy* Form	Unchanged
Form 0920-23HM Actigraphy* Form	Unchanged
Form 0920-23HM Daily Post-Shift Questionnaires Form	Unchanged
Form 0920-23HM Daily Post-Shift Questionnaires Form	Unchanged
Form 0920-23HM Daily Pre-Shift Questionnaires Form	Unchanged
Form 0920-23HM Daily Pre-Shift Questionnaires Form	Unchanged
Form 0920-25-0041 Baseline Questionnaire Form	Modified
Form 0920-25-0041 Baseline Questionnaire Form	Modified
OMB Control No 0920-1436_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change	2025-03-13
OMB Control No 0920-1436_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change	2025-03-13
Attachment 8 - Field data collection log.docx Supplementary Document	2024-03-27
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 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 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 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 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 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 6b - Recruitment Flyer_Fatigue OGE.pdf Supplementary Document	2024-03-27
Attachment 6a - Recruitment letter to companies.docx 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 9 - IRB Approval.pdf Supplementary Document	2024-03-27
Attachment 1 - OSH Act of 1970.pdf Supplementary Document	2024-03-25
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 B_Fatigue in OGE.docx Supporting Statement B	2024-03-25
Statement A_Fatigue in OGE.docx Supporting Statement A	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	Unchanged
266355	SME Interview Guide Form	Unchanged
266354	Health and Safety Lead Interview Guide Form	Unchanged
266354	Health and Safety Lead Interview Guide Form	Unchanged
266353	Manager Interview Guide Form and Instruction	Unchanged
266353	Manager Interview Guide Form and Instruction	Unchanged
266352	Worker Interview Guide Form	Unchanged
266352	Worker Interview Guide Form	Unchanged
266351	Actigraphy* Form	Unchanged
266351	Actigraphy* Form	Unchanged
266350	Psychomotor Vigilance Test (PVT) – no form Other-No Form for this item	Unchanged
266349	Daily Post-Shift Questionnaires Form	Unchanged
266349	Daily Post-Shift Questionnaires Form	Unchanged
266348	Daily Pre-Shift Questionnaires Form	Unchanged
266348	Daily Pre-Shift Questionnaires Form	Unchanged
266347	Baseline Questionnaire Form	Modified
266347	Baseline Questionnaire Form	Modified

ICR Details

Status	Active
Agency/Subagency	HHS/CDC
OMB Control No	0920-1436
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202403-0920-015
Agency Tracking No	0920-25-0041
Date Submitted to OIRA	2025-03-28
Requested Expiration Date	1969-12-31