Information Collection

OSHA New VPP Participant Survey--Req 5

IC 238524 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⚠️ Notice: This information collection may be referencing outdated material.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_New VPP _ Instrument.docx	Other-Survey
OSHA_New VPP _ Template.docx OSHA New VPP--Req 5_Template	IC Document

IC Title:

OSHA New VPP Participant Survey--Req 5

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_New VPP _ 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: 60

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	60	60
Annual IC Time Burden (Hours)	3	3
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
OSHA New VPP--Req 5_Template	OSHA_New VPP _ Template.docx	11/13/2019

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