OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Assessing Safety and Health Hazards of Workers in Oil and Gas Extraction: A Survey

OMB 0920-1195 · HHS/CDC.

OMB 0920-1195

Latest Forms, Documents, and Supporting Material

Document Name
Attachment N. Consent Form (Spanish)_v2.docx Supplementary Document
Attachment F. Consent Form v2.docx Supplementary Document
SSA v3 clean (002).docx Supporting Statement A
SSB v3 clean (002).docx Supporting Statement B
Att M. Worker Handout.docx Supplementary Document
Att I. Worker Response Tracking Form.docx Supplementary Document
Attachment H. Letter to Workers v2.docx Supplementary Document
Attachment G. Flyer v2.pdf Supplementary Document
Att E. HSRB 15-WSD-01XP Approval.pdf Supplementary Document
Att B. FRN 60-day 2016-18940.pdf Supplementary Document
Att A. OSHA Act of 1970 (Sec. 20a1).PNG Supplementary Document
Att C_Oil and Gas Extraction Workers Survey - Module 4 (Hardcopy) Other-WORD
Att D_ Non Respondent Questionnaire Other-WORD & WEB
Att C_Oil and Gas Workers Safety and Health Survey 2,3,5 (Hardcopy) Other-WORD
Att C_Oil and Gas Extraction Workers Survey - Module 4 (WEB) Other-WEB
Att C_Oil and Gas Workers Safety and Health Survey-Module 2,3,5 (WEB) Other-WEB
Att K_Screening Other-WORD

All Historical Document Collections

201704-0920-010

Approved with change

New collection (Request for a new OMB Control Number)

2017-05-02