2024-15966. Agency Forms Undergoing Paperwork Reduction Act Review

Estimated Annualized Burden Hours

Type of respondents	Form name	Number of respondents	Number of responses per respondent	Average burden per response (in hours)
Members of the general public who represent a variety of industrial sectors (Age 18-65)	Informed Consent Pre-Screening Health Questionnaire: Standardized form with decision logic allowing some questions to be omitted	4,000 4,000	1 2	5/60 15/60
	Demographics Questionnaire: Standardized form with decision logic allowing some questions to be omitted	4,000	1	15/60
	Job Survey: Occupational tasks, postures used, duration of exposure, etc	4,000	1	15/60
	Pre- and Post-Assessments: Determine changes in knowledge, skills, and abilities as it related to efficacy, confidence, and perceived competence in technology assessment/intervention (this could be strictly quantitative or semi-structured)	4,000	2	15/60
	Anthropometric Measurements: Calipers/digital measuring of facial and body dimensions with and without gear ( e.g., chest depth; foot breadth with and without proper personal protective equipment) to assess functional integration of wearables and other sensors	4,000	12	5/60
	Physiological Measurements: Measurements recorded using chest worn heart rate monitor strap, blood pressure cuff/strap, COSMED Kb5 or similar, SQ2020-1F8 temperature logger, TOSCA 500 pulse oximeter, Koken breathing waveform recording mask, MOXY muscle oxygenation strap sensor, neurophysiological measures including Electroencephalography (EEG), and Functional near-infrared spectroscopy (fNIRS), etc	4,000	4	60/60
	Perceived Rate of Exertion: using validated perceived exertion scales ( e.g., Borg Ratings)	3,000	12	5/60
	Body Function Assessments: Measurements taken ( e.g., on the low back, neck, shoulder, arm, etc.) to conduct strength testing, range of motion testing, reference or maximum voluntary exertions, endurance testing with different direct reading, wearable sensor, and robotics technologies	3,000	6	30/60
	Motion Measurement Cameras: Camera with motion amplification technology ( e.g., Iris M, Moasure One, etc.) that can measure deflection, displacement, movement, and vibration not visible to the human eye using biomechanical markers for motion capture	2,000	12	15/60
	Perceived Usability Assessments: Close- and open-ended questions to determine system usability including usability scales, mental workload, body part discomfort, and contact stress experiences of new direct reading, sensor, and robotics technologies (lab- and virtual reality-based)	4,000	6	10/60
	Self-Perception Surveys and other Structured Questions: Perceived comfort level with technology, perceived safety and trust level with technology, perceived fatigue while interacting with technology, etc	4,000	6	10/60
	Biomechanics measurements: Force plate, strain gauges, stopwatch, accelerometers (including dataloggers), electromyography sensors human/equipment interaction forces, whole-body motion, Electromyography (EMG) for muscle activity, Near-infrared spectroscopy (NIRS) for muscle oxygenation, etc	2,000	4	30/60
	Task Performance Measures: Measures recorded using various virtual reality systems ( e.g., Vive, Meta quest) and components ( e.g., controllers) that quantify the subjects' performance such as time to complete, errors, movement path, and omissions	2,000	12	15/60
	Eye Tracking Measures: Recorded using various virtual reality glasses ( e.g., Ergoneers) to assess eyes-off-task time and recognition in response to simulated environments designed to assess integration of new robotic technologies and design set-up	2,000	12	15/60