Information Collection

Assessing the Safety Culture of Underground Coal Mining Survey

IC 191085 under ICR 200910-0920-009 · OMB 0920-0835.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0835 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Attachment C1 -- Survey Oral Consent Script.doc	Instruction
3 Phase B, Safety Culture Survey Attachment C5 -- Safety Culture Survey.doc	Form and Instruction

IC Title:

Assessing the Safety Culture of Underground Coal Mining Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			Attachment C1 -- Survey Oral Consent Script.doc		No	No	Paper Only
Form and Instruction	3	Phase B, Safety Culture Survey	Attachment C5 -- Safety Culture Survey.doc		No	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 900

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	900	900
Annual IC Time Burden (Hours)	300	300
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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