Supplemental Supporting Statement

Supporting Statement for Paperwork Reduction Act 1995 Submissions

Customer Satisfaction Survey and Conference Evaluation Generic Clearance

OMB Approval No. 1225-0059

CUSTOMER SATISFACTION SURVEY AND CONFERENCE EVALUATION CLEARANCE FORM

A. SUPPLEMENTAL SUPPORTING STATEMENT

A.1. Title:	OSHA Exhibit Booth Survey
A.2. Compliance with 5 CFR 1320.5: Yes __X__ No _____			A.3. Assurances of confidentiality: Respondents will be assured confidentiality in accordance with the Supporting Statement for this Generic ICR.
A.4. Federal cost: $360 8 Hours / GS-13; Step 5 DC Metropolitan Area. ($45.05 )			A.5. Requested expiration date (Month/Year): 09/30/2011. Use beyond 09/30/2009 is dependent on OMB’s approval of an extension to 1225-0059.
A.6. Burden Hour estimates: a. Number of Respondents: 100 a.1. % Received Electronically 0% (telephone survey – CATI) b. Frequency: one-time c. Average Response Time: 0.033 hours d. Total Annual Burden Hours: 3.3			A7. Does the collection of information employ statistical methods? ___X____ No ______ Yes (Complete Section B and attach BLS review sheet).
A.8. Abstract: OSHA will use the survey to determine if our exhibit is meeting the customer needs, and to identify areas of improvement.
Program Official Date		Departmental Clearance Officer Date

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