Att4. FFFIPP Survey Invite-Email

Attachment 4- FFFIPP Survey Invite

Form Approved

OMB No. 0920-0953

Public reporting burden of this collection of information is estimated to average 18 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0953).

Exp. Date: XX/XX/XXXX

Dear [Name],

The National Institute for Occupational Safety and Health (NIOSH) has selected your fire department to participate in a brief survey about fire safety and line-of-duty deaths (LODD).

Every year, 80 to 100 firefighters die in the line of duty. When LODDs occur, the NIOSH Fire Fighter Fatality Investigation and Prevention Program (FFFIPP) conducts independent investigations of firefighter fatalities, and then makes recommendations for avoiding similar incidents in their LODD Investigation Reports.

NIOSH is surveying personnel from fire departments across the country to gain a better sense of current safety practices, as well as familiarity and satisfaction with the LODD reports. The information you provide will be used to improve the quality of the reports NIOSH produces and how they distribute information to the United State Fire Service to prevent future line of duty accidents and deaths.

Please consider completing this survey and encouraging others in your department to do so. NIOSH is trying to gather information from chief officers, company officers and firefighters. The survey will take between 10 and 25 minutes depending on your role in the fire department, and your responses will be kept confidential. To help protect your confidentiality, NIOSH has partnered with an external evaluation team (Oak Ridge Associated Universities), who will combine any information you provide with other responses before reporting to NIOSH. Your participation is voluntary, and you may decline to answer any question or end the survey at any time.

Below is a link to the survey. The survey will be open until [survey close date]. We will send 3 reminders to those who have not completed the survey between now and the closing date. You can stop and start the survey as needed. It will save your progress.

If you have any questions, concerns, or technical difficulties related to the survey, please reach out to the evaluation team (eval@orau.org).

CDC/NIOSH will treat data/information in a secure manner and will not disclose unless otherwise compelled by law.

Assurance of Confidentiality: We take your privacy very seriously. All information that relates to or describes identifiable characteristics of individuals, a practice, or an establishment will be used only for statistical purposes. NIOSH staff, contractors, and agents will not disclose or release responses in identifiable form without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 U.S.C. 242m(d)) and the Confidential Information Protection and Statistical Efficiency Act of 2002 (CIPSEA, Title 5 of Public Law 107-347). In accordance with CIPSEA, every NIOSH employee, contractor, and agent has taken an oath and is subject to a jail term of up to five years, a fine of up to $250,000, or both if he or she willfully discloses ANY identifiable information about you. In addition, NIOSH complies with the Federal Cybersecurity Act of 2015 (6 U.S.C. §§ 151 & 151 note). This law requires the federal government to protect federal computer networks by using computer security programs to identify cybersecurity risks like hacking, internet attacks, and other security weaknesses. If information sent through government networks triggers a cyber threat indicator, the information may be intercepted and reviewed for cyber threats by computer network experts working for, or on behalf of, the government.