Information Collection

NASA GSFC Safety Culture Survey 2022

IC 252652 under ICR 202407-2700-003 · OMB 2700-0153.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2700-0153 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
GSFC Safety Culture Survey text.docx www.nasascs.org	Other-Survey
GSFC Safety Culture Survey text.docx www.nasascs.org	Other-Survey
GSFC SCS 6 Screenshots.docx www.nasascs.org	Other-Survey
GSFC SCS 6 Screenshots.docx www.nasascs.org	Other-Survey
GSFC Fast track short form Safety Culture 2022.docx GSFC Fast track short form Safety Culture 2022	IC Document
GSFC Fast track short form Safety Culture 2022.docx GSFC Fast track short form Safety Culture 2022	IC Document

IC Title:

NASA GSFC Safety Culture Survey 2022

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			GSFC Safety Culture Survey text.docx	www.nasascs.org	Yes	Yes	Fillable Fileable
Other-Survey			GSFC SCS 6 Screenshots.docx	www.nasascs.org	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 13,000

Number of Respondents for Small Entity: 0

Affected Public: Federal Government

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	13,000	13,000
Annual IC Time Burden (Hours)	1,517	1,517
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
GSFC Fast track short form Safety Culture 2022	GSFC Fast track short form Safety Culture 2022.docx	04/06/2022

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