Safe + Sound Campaign

Forms and Documents

Document Name	Status
Form 1 Safe + Sound Week (2019 Campaign) Form and Instruction	New
Safe + Sound Week Event Registration and Event Customer Feedback Mock-up....pptx Supplementary Document	2018-04-13
In-Depth Follow-Up and Case Study Interview Questions.docx Supplementary Document	2018-04-13
Recruitment Questions.docx Supplementary Document	2018-04-13
Campaign Partner Feedback Form Mock-up.pdf Supplementary Document	2018-04-13
Campaign Partner Feedback Form Questions.docx Supplementary Document	2018-04-13
S+S Week Event Registration Form Questions.docx Supplementary Document	2018-04-13
S+S Week Event Feedback Form Questions.docx Supplementary Document	2018-04-13
Webinar Participant Feedback Form Mock-up.pdf Supplementary Document	2018-04-13
Webinar Participant Registration Form Questions_Mock-up and Webinar Part....docx Supplementary Document	2018-04-13
29 USC 670.pdf Supplementary Document	2018-04-12
60-Day Notice 12122017.pdf Supplementary Document	2018-04-12
1218-0NEW S+S Campaign Final Supporting Statement A 05242018A.doc Supporting Statement A	2018-05-24

IC Document Collections

IC ID	Document Title	Status
236188	Safe + Sound Week (2019 Campaign) Form and Instruction	New
231576	Safe + Sound Information Collections 2018 Other-Webpage	New

ICR Details

OMB Control No: 1218-0269	ICR Reference No: 201804-1218-001
Status: Active	Previous ICR Reference No:
Agency/Subagency: DOL/OSHA	Agency Tracking No: Safe+Sound (2018)
Title: Safe + Sound Campaign
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 05/25/2018
	Date Received in OIRA: 04/16/2018
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2021	36 Months From Approved
Responses	31,650	0	0
Time Burden (Hours)	2,157	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: OSHA established the Safe + Sound Campaign, a voluntary effort to support the implementation of safety and health programs in businesses throughout the United States. The Campaign includes period activities and events, ranging from regular email updates to quarterly national Webinars to local meetings to an annual national stand down, designated to increase overall employer and employee awareness and understanding of safety and health programs and promote employer adoption of these programs. To gain information needed to support this effort, OSHA is proposing to survey, and in some cases interview, those participating in the Campaign activities. The goal of the information collection is to understand and respond to the needs of participants and publicly highlight outcomes to enhance the effectiveness of the Campaign.

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Authorizing Statute(s): US Code: 29 USC 670 Name of Law: Occupational Safety and Health Act of 1970
  

Citations for New Statutory Requirements: US Code: 29 USC 670 Name of Law: Occupational Safety and Health Act of 1970

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 58448	12/12/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 16398	04/16/2018
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Safe + Sound Information Collections 2018
Safe + Sound Week (2019 Campaign)	1, 2	Safe and Sound Week Event Registration Form ,   Safe and Sound Week Event Feedback Form

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	31,650	0	0	31,650	0	0
Annual Time Burden (Hours)	2,157	0	0	2,157	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new data collection.

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Annual Cost to Federal Government: $19,758

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/16/2018

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