OMB control number

Nurse Fatigue-Mitigation Education: Does it Change Nurse Sleep Behavior?

OMB 0920-1367 · HHS/CDC.

OMB 0920-1367

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-21FC Consensus Sleep Diary Form
Form 0920-21FC Immediate Post-Training Survey Form and Instruction
Form 0920-21FC Post-Training (1, 3, and 6-months) Survey Form and Instruction
Form 0920-22FC Baseline Survey Form and Instruction
CHANGE REQUEST 0920-1367_Common Form.docx Justification for No Material/Nonsubstantive Change
Wong.Privacy Act Determination.docx Supplementary Document
Wong.Privacy Act Checklist_.docx Supplementary Document
Wong.AppendixB.OMB.2021.4.30.docx Supplementary Document
Attachment G.Determination.CIO-HSC.docx Supplementary Document
Attachment F. Public Comments.docx Supplementary Document
Attachment A.OSH Act.docx Supplementary Document
Supporting Statement B.docx Supporting Statement B
Supporting Statement A Nurse_Fatigue.2022.8.18.docx Supporting Statement A
Actigraphy watch training Instruction
Actigraphy watch Fitting Other-Actigraphy watch fitting
Consensus Sleep Diary Form
Immediate Post-Training Survey Form and Instruction
Post-Training (1, 3, and 6-months) Survey Form and Instruction
Online Nurses Training Other-Webpage
Baseline Survey Form and Instruction

All Historical Document Collections

202502-0920-007 Approved without change	No material or nonsubstantive change to a currently approved collection	2025-03-05
202206-0920-011 Approved with change	New collection (Request for a new OMB Control Number)	2022-06-23