Information Collection

OSHA Annual VPP Participant Survey--Req 4

IC 238412 under ICR 201911-3090-002 · OMB 3090-0321.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 3090-0321 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OSHA_Annual _ Instrument.docx	Other-Survey
OSHA_Annual _ Template.docx OSHA_Annual VPP Participant Survey-_Req 4	IC Document

IC Title:

OSHA Annual VPP Participant Survey--Req 4

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			OSHA_Annual _ Instrument.docx		Yes	Yes	Fillable Fileable

Line of Business: Supply Chain Management

Subfunction: Services Acquisition

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 300

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	300	300
Annual IC Time Burden (Hours)	15	15
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OSHA_Annual VPP Participant Survey-_Req 4	OSHA_Annual _ Template.docx	11/05/2019

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