Mine Worker Focus Group Worksheet

Enhancing Dialogue and Execution of Dust Reduction Behaviors through Workgroup Communication

Documents and Forms

Document Name Document Type
Mine Worker Focus Group Worksheet Form
Mine Worker Focus Group Worksheet Att E- Mine Worker Focus Group Worksheet.docx Form

Information Collection (IC) Details

IC Title:	Mine Worker Focus Group Worksheet	Agency IC Tracking Number:

Is this a Common Form? No		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	none	Mine Worker Focus Group Worksheet	Att E- Mine Worker Focus Group Worksheet.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	150	150
Annual IC Time Burden (Hours)	38	38
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.