Baseline Safety and Health Practices Survey (Non-agricultural)

Baseline Safety and Health Practices Survey

Documents and Forms

Document Name Document Type
Baseline Survey -- Private Industry (10-28-10).pdf Other-Survey

Information Collection (IC) Details

IC Title:	Baseline Safety and Health Practices Survey (Non-agricultural)	Agency IC Tracking Number:	1218-0NEW(2010)

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
Other-Survey			Baseline Survey -- Private Industry (10-28-10).pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,652	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	10,652	10,652
Annual IC Time Burden (Hours)	4,022	4,022
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.