Safety and Health Measures and Mishap Reporting (NFS1852.223-70)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
2700-0160 Supt.Stmt. Safety and Health Measures and Mishaps_Final053019.doc	Supporting Statement A	Uploaded 2019-05-30	Available
2700-160 30 Day FRN_Vol 83_No 248.pdf	Supplementary Document	Uploaded 2019-05-13	Available
2700-160 60 Day FRN_Vol 83_No 211_103118.pdf	Supplementary Document	Uploaded 2019-05-13	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217300	NSF Clause 1852.223.70	Other-NASA FAR Supplement	Modified

ICR Details

OMB Control No: 2700-0160	ICR Reference No: 201905-2700-002
Status: Active	Previous ICR Reference No: 201510-2700-001
Agency/Subagency: NASA	Agency Tracking No:
Title: Safety and Health Measures and Mishap Reporting (NFS1852.223-70)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 07/01/2019
	Date Received in OIRA: 05/30/2019
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2022	36 Months From Approved	07/31/2019
Responses	924	0	924
Time Burden (Hours)	4,315	0	4,315
Cost Burden (Dollars)	0	0	0

---

Abstract: NASA is requesting approval to collect information from NASA contractors pertaining to contractor mishaps that occur on a NASA site. The work NASA does is inherently risky. NASA's constant attention to safety is the cornerstone upon which we build mission success. NASA is committed to protecting the safety and health of the public, team members, and those assets that the Nation entrusts to NASA. It is NASA policy to report and track to resolution all corrective actions resulting from investigations of mishaps, incidents, nonconformances, anomalies, and safety and mission assurance audits and to distribute and use lessons learned to improve activities and operations. This is a vital component of NASA's safety program. Accordingly, NASA requests authorization to collect information under the NASA Federal Acquisition Regulation Supplement (NFS) clause, 1852.223-70, Safety and Health Measures and Mishap Reporting, formerly entitled "Safety and Health." While the clause is proposed to be revised to eliminate some information collect requirements, two distinct information collection requirements will remain: 1) notification of a Type A, B, C, or D Mishap, or close call as defined in NASA Procedural Requirements (NPR) 8621.1, Mishap and Close Call Reporting, Investigating, and Record keeping, and 2) quarterly reports specifying lost-time frequency rate, number of lost-time injuries, exposure, and accident/incident dollar losses.

---

Authorizing Statute(s): US Code: 29 USC 1960.28 Name of Law: Occupational Safety and Health Act
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
2700-AE16	Final or interim final rulemaking	80 FR 227	11/25/2015

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 211	10/31/2018
30-day Notice:	Federal Register Citation:	Citation Date:
	83 FR 248	12/28/2018
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
NSF Clause 1852.223.70

---

ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	924	924	0	0	0	0
Annual Time Burden (Hours)	4,315	4,315	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $232,848

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  No

---

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 05/30/2019

---