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⚠️ Notice: This information collection may be referencing outdated material.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 (Personal Protective Equipment) Survey PPE Survey_v4.pdf Form
Request for Approval_0920-0953 (18XC).docx Request for Approval IC Document

Information Collection (IC) Details

IC Title:	Assessment of Personal Protective Equipment Information Database Needs and Capabilities	Agency IC Tracking Number:	0920-0953 (18XC)

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 (Personal Protective Equipment) Survey	PPE Survey_v4.pdf		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: State, Local, and Tribal Governments

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
Request for Approval	Request for Approval_0920-0953 (18XC).docx	03/27/2018

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