Subject Matter Expert Questionnaire

Assessing and Evaluating Human Systems Integration Needs in Mining

Documents and Forms

Document Name Document Type
Subject Matter Expert Questionnaire Form and Instruction
Subject Matter Expert Questionnaire Appendix F_Subject Matter Expert Questionnaire.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Subject Matter Expert Questionnaire	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	None	Subject Matter Expert Questionnaire	Appendix F_Subject Matter Expert Questionnaire.docx		Yes	No	Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 36	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	36	36
Annual IC Time Burden (Hours)	36	36
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.