Information Collection

Sector Council Member Questionnaire

IC 213675 under ICR 201503-0920-008 · OMB 0920-1052.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Sector Council Member Questionnaire	Form
Sector Council Member Questionnaire AppendixE_SurveyMonkeyScreenShots.docx	Form
Sector Council Member Questionnaire - word AppendixD_ ChangeRequest.docx	Form

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Form	none	Sector Council Member Questionnaire	AppendixE_SurveyMonkeyScreenShots.docx		Yes	Yes	Fillable Fileable
Form	none	Sector Council Member Questionnaire - word	AppendixD_ ChangeRequest.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 352

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	Previously Approved
Annual Number of Responses for this IC	352	352
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.