Information Collection

Survey soliciting feedback on partnership for Safe + Sound Week

IC 227280 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⚠️ Notice: This information collection may be referencing outdated material.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

Document Name Document Type
Safe + Sound Week Partnership Survey 6.21 (Burden Box).pdf Other-Partnership Survey
2017 Safe + Sound Week PRA Submission_16June17 (2).docx 2017 Safe + Sound Week PRA Submission_16June17 (2) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Survey soliciting feedback on partnership for 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-Partnership Survey			Safe + Sound Week Partnership Survey 6.21 (Burden Box).pdf		Yes	No	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	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	100	100
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
2017 Safe + Sound Week PRA Submission_16June17 (2)	2017 Safe + Sound Week PRA Submission_16June17 (2).docx	06/23/2017

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