OMB control number

[NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel

OMB 0920-1449 · HHS/CDC.

OMB 0920-1449

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 a study on surgical smoke (SS) and related respiratory health effects in U.S. clinical veterinary settings. The overarching goal of this project is to characterize occupational exposure to surgical smoke and related respiratory health effects in U.S. clinical veterinary settings. This study will describe surgical smoke-related respiratory health effects in VM/AC personnel and barriers/aids to implementing surgical smoke evacuation systems among VM/AC personnel.

The latest form for [NIOSH] Occupational Exposures to Surgical Smoke in Veterinary Personnel expires 2027-11-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form 0920-24AL Post-shift Questionnaire Form
Form 0920-24AL Post-shift Questionnaire Form
Form 0920-24AL Baseline Questionnaire Form
Form 0920-24AL Baseline Questionnaire Form
Form 0920-24AL Informed Consent Form
Form 0920-24AL Informed Consent Form
Form 0920-24AL Expression of Interest Form Form
Form 0920-24AL Expression of Interest Form Form
OMB Control 0920-1449_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
OMB Control 0920-1449_Change Request form EO 14168.docx Justification for No Material/Nonsubstantive Change
Att. 10–IRB Approval Letter.pdf Supplementary Document
Att. 10–IRB Approval Letter.pdf Supplementary Document
Att. 9–Letters of Support.docx Supplementary Document
Att. 9–Letters of Support.docx Supplementary Document
Att. 4–Recruitment Email.docx Supplementary Document
Att. 4–Recruitment Email.docx Supplementary Document
Att. 3–Study Recruitment Fact Sheet.docx Supplementary Document
Att. 3–Study Recruitment Fact Sheet.docx Supplementary Document
Att. 2–60-day FRN.pdf Supplementary Document
Att. 2–60-day FRN.pdf Supplementary Document
Att. 1–Authorizing Legislation.docx Supplementary Document
Att. 1–Authorizing Legislation.docx Supplementary Document
Veterinary Surgical Smoke_SSB.docx Supporting Statement B
Veterinary Surgical Smoke_SSB.docx Supporting Statement B
Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docx Supporting Statement A
Veterinary Surgical Smoke_SSA_Revised20241025_Clean.docx Supporting Statement A
Post-shift Questionnaire Form
Post-shift Questionnaire Form
Baseline Questionnaire Form
Baseline Questionnaire Form
Informed Consent Form
Informed Consent Form
Expression of Interest Form Form
Expression of Interest Form Form

All Historical Document Collections

202502-0920-010	No material or nonsubstantive change to a currently approved collection	2025-03-28
202410-0920-008 Approved with change	New collection (Request for a new OMB Control Number)	2024-10-09

OMB Details

Expression of Interest Form

Federal Enterprise Architecture: Health - Public Health Monitoring

Form 0920-24AL

Expression of Interest Form

Fillable Fileable

Form

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