Information Collection

Mine Rescue participants: Post-Simulation Questionnaire

IC 207505 under ICR 201407-0920-006 · OMB 0920-0975.

Documents and Forms

Document Name Document Type
Mine Rescue participants: Post-Simulation Questionnaire Form
Mine rescue participants post-simulation questionnaire Attachment C8.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Mine Rescue participants: Post-Simulation Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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
Form	none	Mine rescue participants post-simulation questionnaire	Attachment C8.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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