Information Collection

Survey of Respirator Use and Practices

IC 14676 under ICR 202108-1220-001 · OMB 1220-0171.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OCWC Form 229 - IDCF Instructions 08-17-21.docx	Instruction
OCWC Form 229 - IDCF Instructions 08-17-21.docx	Instruction
SRUP ICDF Survey of Respirator Use and Practices SRUP survey questions for OMB 20210813.docx	Form and Instruction
SRUP ICDF Survey of Respirator Use and Practices SRUP survey questions for OMB 20210813.docx	Form and Instruction
Initial Postal Letter Invitation 08-17-21.docx Initial Postal Letter	IC Document
Initial Postal Letter Invitation 08-17-21.docx Initial Postal Letter	IC Document
Initial Email Invitation 08-17-21.docx Initial Email Invitation	IC Document
Initial Email Invitation 08-17-21.docx Initial Email Invitation	IC Document
First Non-response Postal Letter 08-17-21.docx First non-response follow-up postal letter	IC Document
First Non-response Postal Letter 08-17-21.docx First non-response follow-up postal letter	IC Document
First Non-response Email 08-17-21.docx First non-response follow-up email	IC Document
First Non-response Email 08-17-21.docx First non-response follow-up email	IC Document
Second Non-response Postal Letter 08-17-21.docx Secon Non-response Postal Letter	IC Document
Second Non-response Postal Letter 08-17-21.docx Secon Non-response Postal Letter	IC Document
Second Non-response Email 08-17-21.docx Second Non-response Email	IC Document
Second Non-response Email 08-17-21.docx Second Non-response Email	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

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
Instruction			OCWC Form 229 - IDCF Instructions 08-17-21.docx		Yes	Yes	Fillable Fileable
Form and Instruction	SRUP ICDF	Survey of Respirator Use and Practices	SRUP survey questions for OMB 20210813.docx		Yes	Yes	Fillable Fileable

Line of Business: General Government

Subfunction: Central Records & Statistical Mgt

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 90,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Program Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	90,000	50,000	40,000
Annual IC Time Burden (Hours)	42,750	22,750	20,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Initial Postal Letter	Initial Postal Letter Invitation 08-17-21.docx	08/19/2021
Initial Email Invitation	Initial Email Invitation 08-17-21.docx	08/19/2021
First non-response follow-up postal letter	First Non-response Postal Letter 08-17-21.docx	08/19/2021
First non-response follow-up email	First Non-response Email 08-17-21.docx	08/19/2021
Secon Non-response Postal Letter	Second Non-response Postal Letter 08-17-21.docx	08/19/2021
Second Non-response Email	Second Non-response Email 08-17-21.docx	08/19/2021

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