Information Collection

Customer Discovery Interviews with Small Outdoor Service Businesses

IC 248275 under ICR 201912-0920-003 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Interview Questions - Customer Discovery Sm Outdoor Services.docx	Other-WORD
Recruitment_Consent_Form_06-07-2021.docx	Other-Script
GenICRequest_Customer Discovery Interviews_06-07-2021.docx Request for Approval	IC Document
Appendix A- OSHA Act.docx Appx A_Authorizing Legislation	IC Document
DSI IRB nonresearch determination_06-07-2021.pdf DSI IRB	IC Document
Statement A_06-07-2021.docx SSA	IC Document
Statement B_06-07-2021.docx SSB	IC Document

IC Title:

Customer Discovery Interviews with Small Outdoor Service Businesses

Agency IC Tracking Number:

0920-1154-21FW

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-WORD					No		Paper Only
Other-Script					No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 25

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	25	25
Annual IC Time Burden (Hours)	25	25
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Approval		07/08/2021
Appx A_Authorizing Legislation		07/08/2021
DSI IRB		07/08/2021
SSA		07/08/2021
SSB		07/08/2021

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

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