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AFRC Safety Day 2019 Feedback Survey
Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 2700-0153
IC ID: 235922
OMB.report
NASA
OMB 2700-0153
ICR 201807-2700-001
IC 235922
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0153 can be found here:
2024-07-23 - Extension without change of a currently approved collection
2021-06-11 - Extension without change of a currently approved collection
Documents and Forms
Document Name
Document Type
Safety Day 2019 Feedback Survey General QuestionsRev1.docx
docs.google.com/forms/d/e/1FAIpQLSdRyVG2Rkf6VGfvAOIGLGMNAA79nKBq8I8_vtJWZTKtZFCzjQ/viewform?vc=0&c=0&w=1
Other-Survey
Safety Day 2019 Feedback Survey Screenshots.docx
docs.google.com/forms/d/e/1FAIpQLSdRyVG2Rkf6VGfvAOIGLGMNAA79nKBq8I8_vtJWZTKtZFCzjQ/viewform?vc=0&c=0&w=1
Other-Survey
AFRC Safety Day 2019 Feedback Survey_fast-track-PRA-submission-short-form_061819Rev.doc
AFRC Safety Day 2019 Feedback Survey_fast-track-PRA-submission-short-form
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
AFRC Safety Day 2019 Feedback Survey
Agency IC Tracking Number:
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Other-Survey
Safety Day 2019 Feedback Survey General QuestionsRev1.docx
https://docs.google.com/forms/d/e/1FAIpQLSdRyVG2Rkf6VGfvAOIGLGMNAA79nKBq8I8_vtJWZTKtZFCzjQ/viewform?vc=0&c=0&w=1
Yes
Yes
Fillable Fileable
Other-Survey
Safety Day 2019 Feedback Survey Screenshots.docx
https://docs.google.com/forms/d/e/1FAIpQLSdRyVG2Rkf6VGfvAOIGLGMNAA79nKBq8I8_vtJWZTKtZFCzjQ/viewform?vc=0&c=0&w=1
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Science and Innovation
Subfunction:
Scientific and Technological Research and Innovation
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
1,328
Number of Respondents for Small Entity:
0
Affected Public:
Federal Government
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
1,328
0
1,328
0
0
0
Annual IC Time Burden (Hours)
111
0
111
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
AFRC Safety Day 2019 Feedback Survey_fast-track-PRA-submission-short-form
AFRC Safety Day 2019 Feedback Survey_fast-track-PRA-submission-short-form_061819Rev.doc
07/26/2019
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.