Information Collection

Winch Entanglement Prevention Technology Interviews

IC 235160 under ICR 201802-0920-007 · OMB 0920-0953.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0953 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-0953 Winch Entanglement Prevention Technology Interviews	Form and Instruction
0920-0953 Opening Script and Eligibility Screening Form Attachment A.docx	Form and Instruction
0920-0953 Representative Question Stems for Interviews Attachment B.docx	Form and Instruction
Winch Technology Interview Fast Track Submission 0920-9053_Final.docx GenIC Request	IC Document

IC Title:

Winch Entanglement Prevention Technology Interviews

Agency IC Tracking Number:

0920-0953-19ABK

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 and Instruction	0920-0953	Opening Script and Eligibility Screening Form	Attachment A.docx	NA	No		Paper Only
Form and Instruction	0920-0953	Representative Question Stems for Interviews	Attachment B.docx	NA	No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 175

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	175	175
Annual IC Time Burden (Hours)	83	83
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GenIC Request	Winch Technology Interview Fast Track Submission 0920-9053_Final.docx	03/18/2019

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