Early Exit Interview

Evaluating the Effectiveness of Interventions for Airplane Cargo Baggage Handling

Documents and Forms

Document Name Document Type
Early Exit Interview Form
Early Exit Interview Attch K-1- Early Exit Interview_2014_10_17.docx Form
Early Exit Interview - Spanish Attch. K-2 - Early Exit Interview-Spanish.docx Form

Information Collection (IC) Details

IC Title:	Early Exit Interview	Agency IC Tracking Number:

Is this a Common Form? No		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
Form	none	Early Exit Interview	Attch K-1- Early Exit Interview_2014_10_17.docx		No		Paper Only
Form	none	Early Exit Interview - Spanish	Attch. K-2 - Early Exit Interview-Spanish.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title: Occupational Health Epidemiological Studies and EEOICPA Program Records	FR Citation: 76 FR 34706

Number of Respondents: 64	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	64	64
Annual IC Time Burden (Hours)	5	5
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.