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⚠️ Notice: This information collection may be referencing outdated material.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

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

Information Collection (IC) Details

View Information Collection (IC)

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:

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 %

	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

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.