Information Collection

Bsee

IC 217016 under ICR 201506-2138-001 · OMB 2138-0045.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 1 BSEE	Form
1 BSEE BSEE-forms.docx www.safeocs.gov	Form
60-Day Notice for SafeOCS.pdf 60 day notice	IC Document
30-day Notice - SafeOCS.pdf 30 Day Notice	IC Document

IC Title:

BSEE

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Voluntary

CFR Citation: 30 CFR 250.193

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	1	BSEE	BSEE-forms.docx	www.safeocs.gov	Yes	Yes	Fillable Fileable

Line of Business: Disaster Management

Subfunction: Disaster Monitoring and Prediction

Privacy Act System of Records

Title: DOT/ALL 21 - Close Call Confidentiality Reporting System (C3RS)

FR Citation: 75 FR 20420

Number of Respondents: 730

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	730	730
Annual IC Time Burden (Hours)	183	183
Annual IC Cost Burden (Dollars)	19,480	19,480

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
60 day notice	60-Day Notice for SafeOCS.pdf	06/12/2015
30 Day Notice	30-day Notice - SafeOCS.pdf	06/12/2015

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