Information Collection

SLGSafe Usability Survey

IC 251190 under ICR 202105-1530-002 · OMB 1530-0073.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1530-0073 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SLGSafe Usability Survey.docx	Other-Survey
ICR Template_A11 Section 280 Clearance_SLGSafe Usability Survey.docx Request for Clearance	IC Document

IC Title:

SLGSafe Usability 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			SLGSafe Usability Survey.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Fiscal Operations

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,362

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

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	1,362	1,362
Annual IC Time Burden (Hours)	68	68
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Request for Clearance	ICR Template_A11 Section 280 Clearance_SLGSafe Usability Survey.docx	01/19/2022

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