Survey Soliciting Feedback on Participation in Safe + Sound Week

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⚠️ Notice: This information collection may be referencing outdated material.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
S + S Week - Participant Certificate Questions.docx Other-Questionnaire
2017 Safe + Sound Week PRA Submission_28March17.docx 2017 Safe + Sound Week PRA Submission_28March17 IC Document
Safe+Sound Week Webpage Mock-up for PRA Package upated 4.5.pdf Safe+Sound Week Webpage Mock-up for PRA Package upated 4.5 IC Document
Safe+Sound Week Participant Certificate draft.pdf Safe+Sound Week Participant Certificate draft IC Document
S+S_Participant_Badge.jpg Safe and Sound Participant Badge IC Document

Information Collection (IC) Details

IC Title:	Survey Soliciting Feedback on Participation in Safe + Sound Week	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-Questionnaire			S + S Week - Participant Certificate Questions.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	2,500	2,500
Annual IC Time Burden (Hours)	417	417
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Safe + Sound Week PRA Submission_28March17	2017 Safe + Sound Week PRA Submission_28March17.docx	04/07/2017
Safe+Sound Week Webpage Mock-up for PRA Package upated 4.5	Safe+Sound Week Webpage Mock-up for PRA Package upated 4.5.pdf	04/07/2017
Safe+Sound Week Participant Certificate draft	Safe+Sound Week Participant Certificate draft.pdf	04/07/2017
Safe and Sound Participant Badge	S+S_Participant_Badge.jpg	04/07/2017

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