OMB
.report
Search
OSHA Screening Survey for SGE Focus Group for VPP Modernization
Improving Customer Experience (OMB Circular A-11, Section 280 Implementation) for the Department of Labor (DOL)
OMB: 1225-0093
IC ID: 262079
OMB.report
DOL/DM
OMB 1225-0093
ICR 202312-1225-004
IC 262079
( )
Documents and Forms
Document Name
Document Type
OSHA Screening Survey for SGE Focus Group for VPP Modernization
Form and Instruction
OSHA Screener Survey
1225-0093 Screener Survey OSHA 9.7.2023 ver2.docx
www.surveymonkey.com/r/K9TM2CH
Form and Instruction
OSHA Screener Survey
1225-0093 Screener Survey OSHA 9.7.2023 ver2.docx
www.surveymonkey.com/r/K9TM2CH
Form and Instruction
1225-0093 A11 Section 280 Clearance Cover Page for DOL SGE Screener Survey OSHA 9.7.2023 (002).docx
1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA
IC Document
1225-0093 A11 Section 280 Clearance Cover Page for DOL SGE Screener Survey OSHA 9.7.2023 (002).docx
1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
OSHA Screening Survey for SGE Focus Group for VPP Modernization
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
NA
OSHA Screener Survey
1225-0093 Screener Survey OSHA 9.7.2023 ver2.docx
https://www.surveymonkey.com/r/K9TM2CH
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:
1,100
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
100 %
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
1,100
0
0
0
0
1,100
Annual IC Time Burden (Hours)
275
0
0
0
0
275
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA
1225-0093 A11 Section 280 Clearance Cover Page for DOL SGE Screener Survey OSHA 9.7.2023 (002).docx
09/07/2023
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.