OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

[NIOSH] Evaluation of Healthcare Worker Mental Health Campaign

OMB 0920-1415 · HHS/CDC.

OMB 0920-1415

Latest Forms, Documents, and Supporting Material

Document Name
Hospital Leader - Follow-Up Survey Form and Instruction
Healthcare Worker - Follow-Up Survey Form and Instruction
0920-1415_Evaluation of Healthcare Worker Mental Health Campaign_Revision Justification.docx Justification for No Material/Nonsubstantive Change
2b Responses to Federal Register Notice.docx Supplementary Document
6 Invitation and Reminder Emails.docx Supplementary Document
3 Non-Research Determination.pdf Supplementary Document
2a Federal Register Notice.pdf Supplementary Document
1b Dr. Lorna Breen Health Care Provider Protection Act.pdf Supplementary Document
1a H.R.1319 American Rescue Plan Act of 2021.pdf Supplementary Document
Supporting Statement B_NIOSH Health Worker MH Campaign_2.16.23.docx Supporting Statement B
Supporting Statement A_NIOSH Health Worker MH Campaign_2.16.22.docx Supporting Statement A
Hospital Leader - Follow-Up Survey Form and Instruction
Healthcare Worker - Follow-Up Survey Form and Instruction

All Historical Document Collections

202404-0920-001 Approved without change	No material or nonsubstantive change to a currently approved collection	2024-04-01
202308-0920-003 Approved without change	New collection (Request for a new OMB Control Number)	2023-08-08