Information Collection

NASA Safety Culture Survey 2018-2019

IC 231688 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⚠️ Notice: This information collection may be referencing outdated material.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 SCS R4 Screen Shots combined.docx	Other-Survey screenshot
NASA SCS Round 4 General Questions.docx	Other-Survey script
Fast-track-PRA-submission-short-form Safety Culture 2018 b053118.doc Fast track short form - Safety Culture	IC Document

IC Title:

NASA Safety Culture Survey 2018-2019

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 script			NASA SCS Round 4 General Questions.docx		Yes	Yes	Fillable Fileable
Other-Survey screenshot			NASA SCS R4 Screen Shots combined.docx		Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 15,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	15,000	15,000
Annual IC Time Burden (Hours)	1,500	1,500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Fast track short form - Safety Culture	Fast-track-PRA-submission-short-form Safety Culture 2018 b053118.doc	06/08/2018

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