Information Collection Request

Formative Data Collections for DOL Research

ICR 202112-1290-001 · OMB 1290-0043 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Attachment #3 Appendix C - Site Selection Questionnaire.docx Supplementary Document Uploaded 2022-04-19 Repair queued
SSB Template for Formative Generic.docx Supplementary Document Uploaded 2022-04-14 Missing upstream
SSA Template for Formative Generic.docx Supplementary Document Uploaded 2022-04-14 Repair queued
Formative Generic SSB_CEO.docx Supporting Statement B Uploaded 2022-04-19 Repair queued
Formative Generic SSA DOL _final.docx Supporting Statement A Uploaded 2022-08-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
260537 Leading Indicators that Improve Workplace Health and Safety Other-Survey Example New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
5,500 0
5,500 0
0 0






table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 5,500 0 0 5,500 0 0
Annual Time Burden (Hours) 5,500 0 0 5,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No