Information Collection

Assessment of Personal Protective Equipment Information Database Needs and Capabilities

IC 230190 under ICR 201505-0920-003 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0953 Assessment of Personal Protective Equipment Information Database Needs and Capabilities	Form
0920-0953 PPE Survey Att 1_Survey.docx	Form
Att 2_PPE Survey Screen Shots.pdf Att 2_PPE Screehots	IC Document
OMB Fast Track Clearance Submission PPE-Info -.docx Request for Approval (0920-0953)	IC Document

IC Title:

Assessment of Personal Protective Equipment Information Database Needs and Capabilities

Agency IC Tracking Number:

0920-0953 (18QP)

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
Form	0920-0953	PPE Survey	Att 1_Survey.docx		Yes	Yes	Fillable Fileable

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 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Att 2_PPE Screehots	Att 2_PPE Survey Screen Shots.pdf	02/20/2018
Request for Approval (0920-0953)	OMB Fast Track Clearance Submission PPE-Info -.docx	02/20/2018

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