Information Collection

Survey to Solicit Feedback on Expanding Research Partnerships: Individuals

IC 237902 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⚠️ Notice: This information collection may be referencing outdated material.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
Survey to Solicit Feedback on Expanding Research Partnerships: Individuals	Form and Instruction
Feedback Survey on the "Expanding Research Partnerships" Survey _NIOSH Expanding Research Partnerships Webinars_9.26.19.docx	Form and Instruction
Generic_Clearance_Submission_Expanding Research Partnership Webinars 10.3.19.doc Template with Project Description	IC Document
Survey Email_NIOSH Expanding Research Partnerships Webinars_9.26.19.docx Invitation Email with link to Survey Monkey	IC Document

IC Title:

Survey to Solicit Feedback on Expanding Research Partnerships: Individuals

Agency IC Tracking Number:

0920-19BSN

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	n/a	Feedback Survey on the "Expanding Research Partnerships" webinar series	Survey _NIOSH Expanding Research Partnerships Webinars_9.26.19.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Training and Employment

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 43

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	43	43
Annual IC Time Burden (Hours)	7	7
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Template with Project Description	Generic_Clearance_Submission_Expanding Research Partnership Webinars 10.3.19.doc	10/03/2019
Invitation Email with link to Survey Monkey	Survey Email_NIOSH Expanding Research Partnerships Webinars_9.26.19.docx	10/03/2019

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