Information Collection

Survey Soliciting Feedback on Participation in Safe + Sound Week

IC 226316 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⚠️ Notice: This information collection may be referencing outdated material.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
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

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:

table that charts list of 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 %

table that charts list of burden
	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

table that charts IC Documents
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.