Information Collection

NASA Safety Culture Survey 2016-2017

IC 224463 under ICR 201506-2700-001 · OMB 2700-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0153 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
NASA Safety Culture Survey 2016 to 2017. v 1.0.docx	Other-Survey
Fast Track Short Form.NASA Safety Culture Survey 2016 thru 2017.doc Fast Track Short Form.NASA Safety Culture Survey 2016 thru 2017	IC Document

IC Title:

NASA Safety Culture Survey 2016-2017

Agency IC Tracking Number:

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
Other-Survey			NASA Safety Culture Survey 2016 to 2017. v 1.0.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Space Exploration and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 6,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	6,000	6,000
Annual IC Time Burden (Hours)	600	600
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast Track Short Form.NASA Safety Culture Survey 2016 thru 2017	Fast Track Short Form.NASA Safety Culture Survey 2016 thru 2017.doc	11/18/2016

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