Information Collection

SOII Recontact Survey

IC 214230 under ICR 201511-1220-004 · OMB 1220-0045.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1220-0045 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form Attachment A SOII Recontact Survey	Form and Instruction
Attachment B - OSHA 300 Form Request Script.docx	Instruction
Attachment A Telephone Questionnaire Attachment A - Telephone Questionnaire.docx	Form and Instruction

IC Title:

SOII Recontact Survey

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Unchanged

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
Form and Instruction	Attachment A	Telephone Questionnaire	Attachment A - Telephone Questionnaire.docx		Yes	No	Printable Only
Instruction			Attachment B - OSHA 300 Form Request Script.docx		Yes	No	Printable Only

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 3,613

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	3,613	3,613
Annual IC Time Burden (Hours)	1,213	1,213
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.