Information Collection

Assessment of Personal Protective Equipment Information Database Needs and Capabilities

IC 230826 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⚠️ Notice: This information collection may be referencing outdated material.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 (Personal Protective Equipment) Survey PPE Survey_v4.pdf	Form
Request for Approval_0920-0953 (18XC).docx Request for Approval	IC Document

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:

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 (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 %

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
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.