Information Collection

Occupational Safety and Health Administration National Fall Prevention Safety Stand Customer Feedback

IC 226073 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⚠️ Notice: This information collection may be referencing outdated material.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
2017 Stand-Down Certificate_basic_PRA.pdf	Other-Certificate
2017 Stand-Down Main Page_PRA.pdf	Instruction
2017 Stand-Down_Survey Page_PRA.pdf	Other-Survey page
2017 NFPSSD PRA Submission_12March17.docx 2017 NFPSSD PRA Submission_12March17	IC Document

IC Title:

Occupational Safety and Health Administration National Fall Prevention Safety Stand Customer Feedback

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Certificate	2017 Stand-Down Certificate_basic_PRA.pdf	Yes	Yes	Printable Only
Instruction	2017 Stand-Down Main Page_PRA.pdf	Yes	Yes	Printable Only
Other-Survey page	2017 Stand-Down_Survey Page_PRA.pdf	Yes	No	Fillable Printable

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

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	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

table that charts IC Documents
Title	Document	Date Uploaded
2017 NFPSSD PRA Submission_12March17	2017 NFPSSD PRA Submission_12March17.docx	03/14/2017

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