Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter

Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)

Documents and Forms

Document Name Document Type
Form Form 1 Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter Form
Form 1 Electronic Survey for Soliciting Feedback for the Heat I Script-Prompt Questions_OMB Clearance 7.14.22 FINAL.docx www.osha.gov/heat Form
Form 1 Electronic Survey for Soliciting Feedback for the Heat I Script-Prompt Questions_OMB Clearance 7.14.22 FINAL.docx www.osha.gov/heat Form
Justification _Generic Clearance for Improving Customer Service_OMB Approval Request 7.13.22.docx Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter IC Document
Justification _Generic Clearance for Improving Customer Service_OMB Approval Request 7.13.22.docx Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter IC Document

Information Collection (IC) Details

IC Title:	Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter	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	Form 1	Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter	Script-Prompt Questions_OMB Clearance 7.14.22 FINAL.docx	https://www.osha.gov/heat	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10,000	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	10,000	10,000
Annual IC Time Burden (Hours)	500	500
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Electronic Survey for Soliciting Feedback for the Heat Illness Prevention Campaign Newsletter	Justification _Generic Clearance for Improving Customer Service_OMB Approval Request 7.13.22.docx	07/14/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.