OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Survey of Coal Mine Safety Interventions

OMB 0920-0862 · HHS/CDC.

OMB 0920-0862

Latest Forms, Documents, and Supporting Material

Document Name
Appendix E Letter of Support.pdf Supplementary Document
Web Measurement Guidance m10-221.pdf Supplementary Document
Section B .doc Supporting Statement B
HSRB 09-PRL-NR04 062509 non-res McWilliamsL surveyCoal.pdf Supplementary Document
Appendix J MSHA Form 7000.pdf Supplementary Document
Appendix I Reminder Postcard.doc Supplementary Document
Appendix D Cover Letter .doc Supplementary Document
Appendix K Pre-Notification Letter .doc Supplementary Document
Section A .doc Supporting Statement A
Non-Respondent follow-up Instruction
Respondents completing web survey Instruction
Respondents completing paper survey Instruction
Initial Telephone Screening contact with coal mines Instruction

All Historical Document Collections

201004-0920-012

Approved without change

New collection (Request for a new OMB Control Number)

2010-04-26