Information Collection

Biographical Information

IC 230803 under ICR 201803-0920-009 · OMB 0920-1232.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Biographical Information Biographical Information	Form and Instruction
Biographical Information Attachment E. Biographical Data R2.docx	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

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				No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title: 09-20-0159 Records of Subjects in Certification, Testing, Studies of Personal Protective Devices, and Accident Investigations

FR Citation: 51 FR 42482

Number of Respondents: 335

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	335	335
Annual IC Time Burden (Hours)	17	17
Annual IC Cost Burden (Dollars)	506	506

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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

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