Information Collection

Work Environment Pulse Survey

IC 264229 under ICR 202104-0412-001 · OMB 0412-0609.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0412-0609 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Work Environment Pulse Survey - Google Forms.pdf	Other-survey
A11 Section 280 WE Pulse Survey Jan Clearance_ rev word.docx A11 Section 280 WE Pulse Survey Jan Clearance_ rev word	IC Document

IC Title:

Work Environment Pulse Survey

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					Yes	Yes	Fillable Fileable

Line of Business: International Affairs and Commerce

Subfunction: International Development and Humanitarian Aid

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 12,964

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	207,424	207,424
Annual IC Time Burden (Hours)	27,657	27,657
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
A11 Section 280 WE Pulse Survey Jan Clearance_ rev word		01/05/2024

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

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