OMB
.report
Search
Non Respondent Questionnaire
Work Organization Risks to Short-haul Truck Drivers’ Health & Safety
OMB: 0920-1345
IC ID: 248534
OMB.report
HHS/CDC
OMB 0920-1345
ICR 202107-0920-008
IC 248534
( )
Documents and Forms
Document Name
Document Type
Form 0920-20BY
Non Respondent Questionnaire
Form
0920-20BY AttachmentD_LSH_Non-RespondentSurvey
AttachmentD_LSH_Non-RespondentSurvey.docx
Form
0920-20BY AttachmentD_LSH_Non-RespondentSurvey
AttachmentD_LSH_Non-RespondentSurvey.docx
Form
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Non Respondent Questionnaire
Agency IC Tracking Number:
0920-20BY
Is this a Common Form?
Yes
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
0920-20BY
AttachmentD_LSH_Non-RespondentSurvey
AttachmentD_LSH_Non-RespondentSurvey.docx
Yes
Yes
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
3
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
3
0
3
0
0
0
Annual IC Time Burden (Hours)
0
0
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.