OMB control number

Assessing and Evaluating Human Systems Integration Needs in Mining

OMB 0920-0981 · HHS/CDC.

OMB 0920-0981

Latest Forms, Documents, and Supporting Material

Document Name
Vest Usability Testing Form and Instruction
Roof Bolter Questionnaire Form and Instruction
Safety Director Questionnaire Form and Instruction
Subject Matter Expert Questionnaire Form and Instruction
General Preference Questionnaire Form and Instruction
Direct Observation: Fire Boss Form
Direct Observation: Continuous Miner Operator Form
Task and Cognitive Task Analysis: Fire Boss Form
Task and Cognitive Task Analysis: Continuous Miner Form
Demographic Questionnaire Form
NIOSH Model Informed Consent Form Form and Instruction
Section A_MinerFirst 14SEP2015.docx Supporting Statement A
60 Day FRN 2015-13799.pdf Supplementary Document
Appendix T_IRB Approval.pdf Supplementary Document
Attachment A -(MINER ACT).pdf Supplementary Document
SectionB_MinerFirst 14SEP2015.docx Supporting Statement B
Preference Questionnaire - Non-substantive Change Request_submitted.docx Justification for No Material/Nonsubstantive Change
Appendix P_Vest Usability Protocol.doc Supplementary Document
Appendix O_Direct Observation_Protocol.doc Supplementary Document
Lab Experiments Other-Protocol for Task and Cognitive Task Analysis and Informat
Focus Groups Other-Protocol for Task and Cognitive Task Analysis and Informat
Vest Usability Testing Form and Instruction
Roof Bolter Questionnaire Form and Instruction
Safety Director Questionnaire Form and Instruction
Subject Matter Expert Questionnaire Form and Instruction
General Preference Questionnaire Form and Instruction
Direct Observation: Fire Boss Form
Direct Observation: Continuous Miner Operator Form
Task and Cognitive Task Analysis: Fire Boss Form
Task and Cognitive Task Analysis: Continuous Miner Form
Demographic Questionnaire Form
Talent Waiver Other-Consent and Waiver
NIOSH Model Informed Consent Form Form and Instruction

All Historical Document Collections

201509-0920-003 Withdrawn	Reinstatement with change of a previously approved collection	2015-10-01
201403-0920-003 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-03-13
201306-0920-013 Approved with change	New collection (Request for a new OMB Control Number)	2013-06-25