Information Collection

Practicing Ergonomist Survey of Tools and Methods

IC 223616 under ICR 201609-0920-013 · OMB 0920-1177.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Practicing Ergonomist Survey of Tools and Methods	Form
Egonomist Survey of Tools and Methods Att. D - Questionnaire.docx	Form

IC Title:

Agency IC Tracking Number:

16AMV

Is this a Common Form? No

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
Form	none	Egonomist Survey of Tools and Methods	Att. D - Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 938

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	938	938
Annual IC Time Burden (Hours)	469	469
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.