Information Collection

National Safety Council Survey Results and Analysis

IC 257765 under ICR 202405-0693-004 · OMB 0693-0043.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0693-0043 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Safety Survey.pdf	Other-survey
NSC_GenericClearance-SupportingStatementNA Comments (002).docx Supporting Statement	IC Document

IC Title:

National Safety Council Survey Results and Analysis

Agency IC Tracking Number:

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-survey			Safety Survey.pdf		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,770

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,770	1,770
Annual IC Time Burden (Hours)	590	590
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Supporting Statement	NSC_GenericClearance-SupportingStatementNA Comments (002).docx	01/05/2023

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