Information Collection

Safety Improvements Report/counselor Activity Report 2068

IC 141340 under ICR 198209-2120-002 · OMB 2120-0057.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2120-0057 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	SAFETY IMPROVEMENTS REPORT/COUNSELOR ACTIVITY REPORT 2068	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	FFA 8740-5.1				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	47,200	3,400	43,800
Annual IC Time Burden (Hours)	4,980	510	4,470
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.