Information Collection

Industry Safety Data

IC 258676 under ICR 202302-2138-002 · OMB 2138-0048.

Documents and Forms

Document Name Document Type
Form Version 1.0 Industry Safety Data Form and Instruction
Version 1.0 ISD Data Entry Form Copy of DataEntryTemplate.xlsm Form and Instruction
Version 1.0 ISD Data Entry Form Copy of DataEntryTemplate.xlsm Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Industry Safety Data	Agency IC Tracking Number:

Is this a Common Form? No		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 and Instruction	Version 1.0	ISD Data Entry Form	Copy of DataEntryTemplate.xlsm		Yes	Yes	Fillable Fileable

Line of Business: Transportation

Subfunction: Water Transportation

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	400	400
Annual IC Cost Burden (Dollars)	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.