Information Collection

Occupational Safety and Health Administration Participation in National Fall Prevention Safety Stand Down

IC 212171 under ICR 201406-1225-002 · 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⚠️ Notice: This information collection may be referencing outdated material.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
Safety Standdown Capture(20140630).PNG www.osha.gov/StopFallsStandDown/certificate.html	Other-Web-page survey
NFPSSD PRA Submissiom (20140630).docx Supplemental Justification Supporting Statement for Survey soliciting feedback on participation in the OSHA National Fall Preven	IC Document
Stand-Down_webpage.pdf Standdown Web-page	IC Document

IC Title:

Occupational Safety and Health Administration Participation in National Fall Prevention Safety Stand Down

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-page survey			Safety Standdown Capture(20140630).PNG	https://www.osha.gov/StopFallsStandDown/certificate.html	Yes	Yes	Fillable Fileable Signable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

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

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25,000	25,000
Annual IC Time Burden (Hours)	4,167	4,167
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supplemental Justification Supporting Statement for Survey soliciting feedback on participation in the OSHA National Fall Prevention Safety Stand Down	NFPSSD PRA Submissiom (20140630).docx	06/30/2014
Standdown Web-page	Stand-Down_webpage.pdf	06/30/2014

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