OMB control number

Survey of Healthcare Workers' Health and Safety Practices

OMB 0920-0860 · HHS/CDC.

OMB 0920-0860

Latest Forms, Documents, and Supporting Material

Document Name
Form 10 Healthcare Workers Core Module Form and Instruction
Form 4 Secondary Hazard Module Form and Instruction
Form 6 Healthcare Workers Primary Hazard Module Form and Instruction
Form 2 Healthcare Workers Screening Module Form and Instruction
Attachment H2_SamplingSmallOrgs_072310.docx Supplementary Document
Attachment H1_SamplingLargeOrgs_FINAL_08042010.docx Supplementary Document
Supporting Statement B_0 8_02_2010 (2).docx Supporting Statement B
Attachment G_Web Page Materials_72310.docx Supplementary Document
ICR Attmt F_HSRB Memo_3.1.10.docx Supplementary Document
ICR Attmt E_Public MeetingFRN_3.1.10.docx Supplementary Document
ICR Attmt D 60-day FRN.pdf Supplementary Document
ICR Attmt C_LtrsofSupport_3.1.10.docx Supplementary Document
ICR Attmt B_NIOSHSurvGoal3_3.1.10.docx Supplementary Document
ICR Attmt A_OSHAct_3.1.10.docx Supplementary Document
Supporting Statement A_08_02_2010.docx Supporting Statement A
Healthcare Workers Core Module Form and Instruction
Secondary Hazard Module Form and Instruction
Healthcare Workers Primary Hazard Module Form and Instruction
Healthcare Workers Screening Module Form and Instruction
Professional Organizations Instruction

All Historical Document Collections

201004-0920-008

2010-04-21