Information Collection

Health Outreach Campaign-2012

IC 202044 under ICR 201104-1225-001 · OMB 1225-0088.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0088 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
2012 web site evaluation.docx	Other-Web Survey
CAS survey to employers.docx	Other-Web Survey
OSHA Generic ClearanceTemplate Heat Stress (20120413).docx Request for Approval under the DOL Departmental Generic Clearance for the Collection of Routine Customer Feedback-Health Outre	IC Document

IC Title:

Health Outreach Campaign-2012

Agency IC Tracking Number:

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-Web Survey			2012 web site evaluation.docx		Yes	Yes	Fillable Fileable
Other-Web Survey			CAS survey to employers.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Farms, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	13,000	13,000
Annual IC Time Burden (Hours)	3,330	3,330
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval under the ÂDOL Departmental Generic Clearance for the Collection of Routine Customer FeedbackÂ-Health Outreach Campaign-2012	OSHA Generic ClearanceTemplate Heat Stress (20120413).docx	04/24/2012

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