Information Collection

Safe + Sound Week (2019 Campaign)

IC 236188 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⚠️ Notice: This information collection may be referencing outdated material.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
Form 1 Safe + Sound Week (2019 Campaign)	Form and Instruction
1 Safe and Sound Week Event Registration Form 2019 S+S Week Event Registration Form Questions_Final.docx	Form and Instruction
2 Safe and Sound Week Event Feedback Form 2019 S+S Week Event Feedback Form Questions_Final.docx	Form and Instruction
1218-0269 Gen IC for S+S Week Paperwork Package 5.24 Ver1.docx GEN IC Justification for Safe and Sound Week Forms	IC Document

IC Title:

Safe + Sound Week (2019 Campaign)

Agency IC Tracking Number:

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	1	Safe and Sound Week Event Registration Form	2019 S+S Week Event Registration Form Questions_Final.docx		Yes	Yes	Fillable Printable
Form and Instruction	2	Safe and Sound Week Event Feedback Form	2019 S+S Week Event Feedback Form Questions_Final.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,500

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

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	5,000	5,000
Annual IC Time Burden (Hours)	459	459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GEN IC Justification for Safe and Sound Week Forms	1218-0269 Gen IC for S+S Week Paperwork Package 5.24 Ver1.docx	05/29/2019

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