Health and Safety Fair Customer Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

⚠️ Notice: This information collection may be referencing outdated material.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

Information Collection (IC) Details

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:

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 %

	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

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.