Information Collection Request

Safety Awareness, Feedback, and Evaluation (SAFE) Program

ICR 201706-2120-002 · OMB 2120-0759 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
2120-0759 2017 Part B Revised 10262017.doc Supporting Statement B Uploaded 2017-10-26 Available
2120-0759 2017 Part A comment mode off blh 10 26 17.docx Supporting Statement A Uploaded 2017-10-26 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
209385 Safety Awareness, Feedback, and Evaluation (SAFE) Program Survey Other-Survey Instrument Unchanged

ICR Details

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table that charts list comparision
  Inventory as of this Action Requested Previously Approved
11/30/2020 36 Months From Approved 11/30/2017
4,782 0 4,782
531 0 531
0 0 0





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table that charts list of burden
IC Title Form No. Form Name
Safety Awareness, Feedback, and Evaluation (SAFE) Program Survey

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 4,782 4,782 0 0 0 0
Annual Time Burden (Hours) 531 531 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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