Fire Chiefs

[NIOSH] Fire Fighter Fatality Investigation and Prevention Program Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1373 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1373 Fire Chiefs Form and Instruction
0920-1373 Att1c. FFFIPP Survey-Chief Att1c. FFFIPP Survey-Chief (004).docx Form and Instruction
0920-1373 Att1c. FFFIPP Survey-Chief Att1c. FFFIPP Survey-Chief (004).docx Form and Instruction

Information Collection (IC) Details

IC Title:	Fire Chiefs	Agency IC Tracking Number:	0920-1373

Is this a Common Form? No		IC Status: Modified

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	0920-1373	Att1c. FFFIPP Survey-Chief	Att1c. FFFIPP Survey-Chief (004).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,500	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	4,500	4,500
Annual IC Time Burden (Hours)	1,350	1,350
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.