Information Collection

Baseline Safety and Health Practices Survey (Non-agricultural)

IC 194849 under ICR 201010-1218-001 · OMB 1218-0263.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Baseline Survey -- Private Industry (10-28-10).pdf	Other-Survey

IC Title:

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:

table that charts list of 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 %

table that charts list of burden
	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

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.