Information Collection

Health and Safety Fair Customer Feedback Survey

IC 240299 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⚠️ Notice: This information collection may be referencing outdated material.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

Documents and forms in this information collection
Document Name	Document Type
Screenshot Safety Health Fair Survey 2020.docx keysurvey.hq.nasa.gov/f/331771/1b22/	Other-Survey
Text Safety Health Fair Survey 2020.docx keysurvey.hq.nasa.gov/f/331771/1b22/	Other-Survey
Request for Approval Health and Safety Fair Survey 2020.docx Request for Approval Health and Safety Fair Survey 2020	IC Document

IC Title:

Health and Safety Fair Customer Feedback Survey

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
Other-Survey			Screenshot Safety Health Fair Survey 2020.docx	https://keysurvey.hq.nasa.gov/f/331771/1b22/	Yes	Yes	Fillable Fileable
Other-Survey			Text Safety Health Fair Survey 2020.docx	https://keysurvey.hq.nasa.gov/f/331771/1b22/	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: 200

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

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	200	200
Annual IC Time Burden (Hours)	5	5
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval Health and Safety Fair Survey 2020	Request for Approval Health and Safety Fair Survey 2020.docx	03/04/2020

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