Information Collection

Health and Safety Fair Customer Feedback Survey_2018

IC 232200 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⚠️ Notice: This information collection may be referencing outdated material.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
H_and_S_Fair_Survey[5].PNG	Other-Survey screenshot
Survey Questions for Safety Health Fair 2018_updated.docx	Other-Survey script
Health and Safety Fair Survey Fast Track Short Form 2018_FINAL_1.doc Health and Safety Fair Survey Fast Track Short Form 2018	IC Document

IC Title:

Health and Safety Fair Customer Feedback Survey_2018

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 screenshot			H_and_S_Fair_Survey[5].PNG		Yes	Yes	Fillable Fileable
Other-Survey script			Survey Questions for Safety Health Fair 2018_updated.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: 50

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	1	1
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Health and Safety Fair Survey Fast Track Short Form 2018	Health and Safety Fair Survey Fast Track Short Form 2018_FINAL_1.doc	07/13/2018

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