Information Collection

Att 26 Wearability Test

IC 263433 under ICR 202311-0920-004 · OMB 0920-0109.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-0109 can be found here:

Documents and Forms

Document Name Document Type
Form ETB 1211A Rev 1 FP Att 26 Wearability Test Form
ETB 1211A Rev 1 FP Determination of Wearability (CCER) Atch_26_Wearability Test.xlsx Form
ETB 1211A Rev 1 FP Determination of Wearability (CCER) Atch_26_Wearability Test.xlsx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att 26 Wearability Test	Agency IC Tracking Number:	0920-0109

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	ETB 1211A Rev 1 FPW	Determination of Wearability (CCER)	Atch_26_Wearability Test.xlsx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	3	3
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.