Information Collection

NORA CRC Cross-Sector Council Questionnaire

IC 238377 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⚠️ Notice: This information collection may be referencing outdated material.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 NORA CRC Cross-Sector Council Questionnaire	Form and Instruction
0920-0953 Cross-Sector Survey Attachment 2_CRC Cross-Sector Survey final.pdf	Form and Instruction
NORA CRC Cross Sector Council Questionnaire clearance submission final.docx Questionnaire Clearance Submission	IC Document
Attachment 1_CRC Cross-Sector Survey _ Invitation Email.docx Invitation Email	IC Document

IC Title:

NORA CRC Cross-Sector Council Questionnaire

Agency IC Tracking Number:

0920-0953-20BV

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	Cross-Sector Survey	Attachment 2_CRC Cross-Sector Survey final.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 21

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

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	21	21
Annual IC Time Burden (Hours)	9	9
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Questionnaire Clearance Submission	NORA CRC Cross Sector Council Questionnaire clearance submission final.docx	11/01/2019
Invitation Email	Attachment 1_CRC Cross-Sector Survey _ Invitation Email.docx	11/01/2019

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