Survey to Solicit Feedback on Expanding Research Partnerships: State/Local/Tribal Govt

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Survey to Solicit Feedback on Expanding Research Partnerships: State/Local/Tribal Govt 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

Information Collection (IC) Details

IC Title:	Survey to Solicit Feedback on Expanding Research Partnerships: State/Local/Tribal Govt	Agency IC Tracking Number:	0920-20AC

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection 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: 266	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	266	266
Annual IC Time Burden (Hours)	44	44
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.