OMB
.report
Search
Non-respondent Questionnaire
Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey
OMB: 0920-1343
IC ID: 246444
OMB.report
HHS/CDC
OMB 0920-1343
ICR 202201-0920-018
IC 246444
( )
Documents and Forms
Document Name
Document Type
Form 0920-21AN
Non-respondent Questionnaire
Form and Instruction
0920-21AN Non-respondent Questionnaire
Attachment 10.docx
Form and Instruction
0920-21AN Non-respondent Questionnaire
Attachment 10.docx
Form and Instruction
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Non-respondent Questionnaire
Agency IC Tracking Number:
Is this a Common Form?
Yes
IC Status:
Unchanged
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 and Instruction
0920-21AN
Non-respondent Questionnaire
Attachment 10.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:
523
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
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
523
0
0
0
0
523
Annual IC Time Burden (Hours)
26
0
0
0
0
26
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.