OMB control number
[NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey
OMB 0920-1373 · HHS/CDC.
The Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH) seeks approval from the Office of Management and Budget (OMB) to conduct an evaluation of fire department implementation of the NIOSH Fire Fighter Fatality Investigation and Prevention Program (FFFIPP). This Non-Substantive Change Request is submitted to send additional survey reminders to non-responding fire departments. This request will change the number of reminders being sent from three (3) to five (5). There is no change to the burden hours already approved for this project.
The latest form for [NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey expires 2026-12-31 and can be found here.
Document Name |
|---|
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Form and Instruction |
Justification for No Material/Nonsubstantive Change |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supporting Statement B |
Supporting Statement B |
Supporting Statement A |
Supporting Statement A |
Form 0920-1373 Company Officers
Request for Nonsubstantive Change 3_4_24.docx
Att10. Recruitment Dissemination Plan.pptx
Att7.IRB Determination.pdf
Company Officers |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2024-03-06 | |
|
Approved without change |
Revision of a currently approved collection | 2023-10-31 | |
|
Approved without change |
New collection (Request for a new OMB Control Number) | 2022-07-26 |
Firefighters
Federal Enterprise Architecture: Workforce Management - Worker Safety
| Form 0920-1373 | Att1a. FFFIPP Survey-Firefighter | Fillable Fileable | Form and instruction |
Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.