Information Collection

Safe + Sound Information Collections 2018

IC 231576 under ICR 201804-1218-001 · OMB 1218-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0269 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Webinar Participant Feedback Form Screen Shot.docx	Other-Webpage
Safe + Sound Week Event Registration Forn Screen Shots.docx	Other-Webpage
Safe + Sound Week Event Feedback Form Screen Shot.docx	Other-Webpage
S+S Week Event Registration Form Questions_OMB.DOCX	Other-Webpage
S+S Week Event Feedback Form Questions_OMB.DOCX	Other-Webpage
In-Depth Follow-Up and Case Study Interview Questions_OMB.DOCX	Other-Webpage
Webinar Participant Registration Form Questions_Mock-up.docx	Other-Webpage
Webinar Participant Registration Form Screen Shot.docx	Other-Webpage
Webinar Participant Feedback Form_OMB.DOCX	Other-Webpage

IC Title:

Safe + Sound Information Collections 2018

Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Webpage	Webinar Participant Registration Form Screen Shot.docx	Yes	Yes	Fillable Fileable
Other-Webpage	S+S Week Event Feedback Form Questions_OMB.DOCX	Yes	Yes	Fillable Fileable
Other-Webpage	Webinar Participant Feedback Form_OMB.DOCX	Yes	Yes	Fillable Fileable
Other-Webpage	Safe + Sound Week Event Feedback Form Screen Shot.docx	Yes	Yes	Fillable Fileable
Other-Webpage	Safe + Sound Week Event Registration Forn Screen Shots.docx	Yes	Yes	Fillable Fileable
Other-Webpage	S+S Week Event Registration Form Questions_OMB.DOCX	Yes	Yes	Fillable Fileable
Other-Webpage	Webinar Participant Registration Form Questions_Mock-up.docx	Yes	Yes	Fillable Fileable
Other-Webpage	In-Depth Follow-Up and Case Study Interview Questions_OMB.DOCX	Yes	Yes	Fillable Fileable
Other-Webpage	Webinar Participant Feedback Form Screen Shot.docx	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 10,550

Number of Respondents for Small Entity: 10,339

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10,550	10,550
Annual IC Time Burden (Hours)	719	719
Annual IC Cost Burden (Dollars)	0	0

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.