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Field Test for Safety and Health Programs
Department of Labor Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery
OMB: 1225-0088
IC ID: 254342
OMB.report
DOL/DM
OMB 1225-0088
ICR 202312-1225-001
IC 254342
( )
Documents and Forms
Document Name
Document Type
Form Field Test 1
Field Test for Safety and Health Programs
Form and Instruction
Field Test 1 Field Test - SHP Step-by-Step Guide - Feedback Questions
Field Test - SHP Step-by-Step Guide - Feedback Questions 6.17.22.docx
Form and Instruction
Field Test 1 Field Test - SHP Step-by-Step Guide - Feedback Questions
Field Test - SHP Step-by-Step Guide - Feedback Questions 6.17.22.docx
Form and Instruction
Justification - Request for Approval OMB Control Number 1225-0088.docx
Field Test for Safety and Health Programs Mini Supporting Statement
IC Document
Justification - Request for Approval OMB Control Number 1225-0088.docx
Field Test for Safety and Health Programs Mini Supporting Statement
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Field Test for Safety and Health Programs
Agency IC Tracking Number:
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
Field Test 1
Field Test - SHP Step-by-Step Guide - Feedback Questions
Field Test - SHP Step-by-Step Guide - Feedback Questions 6.17.22.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:
500
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
100 %
Requested
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
500
0
0
0
0
500
Annual IC Time Burden (Hours)
58
0
0
0
0
58
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Field Test for Safety and Health Programs Mini Supporting Statement
Justification - Request for Approval OMB Control Number 1225-0088.docx
06/23/2022
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.