OMB control number

[NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction

OMB 0920-1436 · HHS/CDC.

OMB 0920-1436

This information collection request (ICR) facilitates agency initiation and conduct of the investigation of fatigue and fatigue management in land-based Oil and Gas Extraction (OGE) workers in the United States. Collection of information may help a) identify occupational and non-occupational determinants of fatigue in OGE workers; b) identify worker and organizational factors to consider when developing and implementing fatigue management strategies in the OGE industry; and c) describe how fatigue mitigation strategies are currently being used in the onshore OGE industry.

The latest form for [NIOSH] Assessing Fatigue and Fatigue Management in U.S. Onshore Oil and Gas Extraction expires 2027-06-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-23HM SME Interview Guide Form
Form 0920-23HM SME Interview Guide Form
Form 0920-23HM Health and Safety Lead Interview Guide Form
Form 0920-23HM Health and Safety Lead Interview Guide Form
Form 0920-23HM Manager Interview Guide Form and Instruction
Form 0920-23HM Manager Interview Guide Form and Instruction
Form 0920-23HM Worker Interview Guide Form
Form 0920-23HM Worker Interview Guide Form
Form 0920-23HM Actigraphy* Form
Form 0920-23HM Actigraphy* Form
Form 0920-23HM Daily Post-Shift Questionnaires Form
Form 0920-23HM Daily Post-Shift Questionnaires Form
Form 0920-23HM Daily Pre-Shift Questionnaires Form
Form 0920-23HM Daily Pre-Shift Questionnaires Form
Form 0920-25-0041 Baseline Questionnaire Form
Form 0920-25-0041 Baseline Questionnaire Form
OMB Control No 0920-1436_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
OMB Control No 0920-1436_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Attachment 8 - Field data collection log.docx Supplementary Document
Attachment 8 - Field data collection log.docx Supplementary Document
Attachment 7d - Consent form_Aim 2 and 3 - ES.docx Supplementary Document
Attachment 7d - Consent form_Aim 2 and 3 - ES.docx Supplementary Document
Attachment 7c - Consent form_Aim 2 and 3.docx Supplementary Document
Attachment 7c - Consent form_Aim 2 and 3.docx Supplementary Document
Attachment 7b - Consent form_Aim 1 -ES.docx Supplementary Document
Attachment 7b - Consent form_Aim 1 -ES.docx Supplementary Document
Attachment 7a - Consent form_Aim 1.docx Supplementary Document
Attachment 7a - Consent form_Aim 1.docx Supplementary Document
Attachment 6c - Recruitment Flyer_Fatigue OGE - ES.pdf Supplementary Document
Attachment 6c - Recruitment Flyer_Fatigue OGE - ES.pdf Supplementary Document
Attachment 6b - Recruitment Flyer_Fatigue OGE.pdf Supplementary Document
Attachment 6b - Recruitment Flyer_Fatigue OGE.pdf Supplementary Document
Attachment 6a - Recruitment letter to companies.docx Supplementary Document
Attachment 6a - Recruitment letter to companies.docx Supplementary Document
Attachment 9 - IRB Approval.pdf Supplementary Document
Attachment 9 - IRB Approval.pdf Supplementary Document
Attachment 1 - OSH Act of 1970.pdf Supplementary Document
Attachment 1 - OSH Act of 1970.pdf Supplementary Document
Statement B_Fatigue in OGE.docx Supporting Statement B
Statement B_Fatigue in OGE.docx Supporting Statement B
Statement A_Fatigue in OGE.docx Supporting Statement A
Statement A_Fatigue in OGE.docx Supporting Statement A
SME Interview Guide Form
SME Interview Guide Form
Health and Safety Lead Interview Guide Form
Health and Safety Lead Interview Guide Form
Manager Interview Guide Form and Instruction
Manager Interview Guide Form and Instruction
Worker Interview Guide Form
Worker Interview Guide Form
Actigraphy* Form
Actigraphy* Form
Psychomotor Vigilance Test (PVT) – no form Other-No Form for this item
Daily Post-Shift Questionnaires Form
Daily Post-Shift Questionnaires Form
Daily Pre-Shift Questionnaires Form
Daily Pre-Shift Questionnaires Form
Baseline Questionnaire Form
Baseline Questionnaire Form

All Historical Document Collections

202503-0920-018	No material or nonsubstantive change to a currently approved collection	2025-03-28
202403-0920-015 Approved with change	New collection (Request for a new OMB Control Number)	2024-04-01

OMB Details

Baseline Questionnaire

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-25-0041	Baseline Questionnaire	Fillable Fileable	Form
Form 0920-25-0041	Baseline Questionnaire	Fillable Fileable	Form

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.