OSHA-Participation in National Fall Prevention Safety Stand Down (NFPSSD) Feedback Survey

Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Stand-Down_Survey Page_2015.pdf Other-Web-based survey
2015 Stand-down_Main Page.pdf NFPSSD Main Page IC Document
Stand-Down_Certificate of Participation_2015.pdf Certificate of Participation IC Document
NFPSSD PRA Submission (20152503).docx Request for Approval Justification - NFPSSD IC Document

Information Collection (IC) Details

IC Title:	OSHA-Participation in National Fall Prevention Safety Stand Down (NFPSSD) Feedback Survey	Agency IC Tracking Number:

IC Status: New

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
Other-Web-based survey			Stand-Down_Survey Page_2015.pdf		Yes	Yes	Fillable Fileable

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: 24,500

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	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

Title	Document	Date Uploaded
NFPSSD Main Page	2015 Stand-down_Main Page.pdf	03/25/2015
Certificate of Participation	Stand-Down_Certificate of Participation_2015.pdf	03/25/2015
Request for Approval Justification - NFPSSD	NFPSSD PRA Submission (20152503).docx	03/25/2015

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