Information Collection

Feedback Survey for September 2021 Webinar

IC 248866 under ICR 201902-0920-022 · OMB 0920-1050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1050 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-1050 Feedback Survey for 2021 Sept Webinar Feedback Survey for September 2021 Webinar	Form and Instruction
0920-1050 Feedback Survey for 2021 Sept Webinar Survey_NIOSH_ERP_Webinar_Sept2021_08.05.2021.docx	Form and Instruction
Customer_Service_GenIC_Clearance_NIOSH_ERP_Webinar_Sept2021_08.05.2021.docx Generic Information Template	IC Document
Survey_Email_NIOSH_ERP_Webinar_Sept2021_08.05.2021.docx Email Invitation	IC Document

IC Title:

Feedback Survey for September 2021 Webinar

Agency IC Tracking Number:

0920-1050-21HG

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	0920-1050				Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 400

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

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	400	400
Annual IC Time Burden (Hours)	34	34
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Information Template		08/13/2021
Email Invitation		08/13/2021

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

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