Information Collection Request

The Evaluation of Ordinances to Prevent Workplace Violence in Convenience Stores

ICR 201102-0920-001 · OMB 0920-0886 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Appendix F 4 Letter to respondents 4-11 revision.docx Supplementary Document Uploaded 2011-04-28 Available
Appendix_G[2].docx Supplementary Document Uploaded 2011-02-01 Available
Supporting Statement B .doc Supporting Statement B Uploaded 2011-04-26 Available
Appendix I (public comment).doc Supplementary Document Uploaded 2010-12-20 Available
Appendix H Final.doc Supplementary Document Uploaded 2010-12-20 Available
Appendix F.docx Supplementary Document Uploaded 2010-12-20 Available
Appendix E.docx Supplementary Document Uploaded 2010-12-20 Available
Supporting Statement A .doc Supporting Statement A Uploaded 2011-04-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
197511 Stakeholders (Industry leaders/Community leaders) Instruction New
196078 Store Owner/ Upper Management Instruction New
196077 Store Managers Instruction New

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
05/31/2014 36 Months From Approved
815 0 0
495 0 0
0 0 0





Reginfo record details
3
table that charts list of burden
IC Title Form No. Form Name
Store Managers
Store Owner/ Upper Management
Stakeholders (Industry leaders/Community leaders)

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 815 0 0 815 0 0
Annual Time Burden (Hours) 495 0 0 495 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No