Information Collection

AFRC Safety Day 2019 Feedback Survey

IC 235922 under ICR 201807-2700-001 · OMB 2700-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0153 can be found here:

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

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 Agency Discretion
Annual Number of Responses for this IC	1,328	1,328
Annual IC Time Burden (Hours)	111	111
Annual IC Cost Burden (Dollars)	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.