Information Collection

Operator Survey

IC 246439 under ICR 202201-0920-018 · OMB 0920-1343.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form 0920-21AN Operator Survey	Form and Instruction
0920-21AN Operator Survey Attachment 3a.docx	Form and Instruction
0920-21AN Operator Survey Attachment 3a.docx	Form and Instruction

IC Title:

Operator Survey

Agency IC Tracking Number:

Is this a Common Form? Yes

IC Status: Unchanged

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
Form and Instruction	0920-21AN	Operator Survey	Attachment 3a.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 153

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	Previously Approved
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	64	64
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
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.