Assessment of Personal Protective Equipment Information Database Needs and Capabilities

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

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

Information Collection (IC) Details

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:

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 %

	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

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.