Mine Escape participants: Post-Simulation Questionnaire

Virtual Reality to Train and Assess Emergency Responders

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0975 can be found here:

Documents and Forms

Document Name Document Type
Mine Escape participants: Post-Simulation Questionnaire Form and Instruction
Mine Escape participants: Post-Simulation Questionnaire Att C3 Mine Escape-Post-Simulation.docx Form and Instruction
Revised Post-simulation Questionnaire Attachment C3 - revised.docx Form

Information Collection (IC) Details

IC Title:	Mine Escape participants: Post-Simulation Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form and Instruction	None	Mine Escape participants: Post-Simulation Questionnaire	Att C3 Mine Escape-Post-Simulation.docx		Yes	No	Paper Only
Form	none	Revised Post-simulation Questionnaire	Attachment C3 - revised.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	3	3
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.