Information Collection

Att 7c_Site audits,Site audits (completed for each corrective action)

IC 263230 under ICR 202410-0920-021 · OMB 0920-0109.

Documents and Forms

Document Name Document Type
Form 0920-0109 Att 7c_Site audits,Site audits (completed for each corrective action) Form
Form 0920-0109 Att 7c_Site audits,Site audits (completed for each corrective action) Form
0920-0109 NIOSH CORRECTIVE ACTION REQUEST (CAR) Form Atch_7c_Corrective Action Request (CAR) Form.docx Form
0920-0109 NIOSH CORRECTIVE ACTION REQUEST (CAR) Form Atch_7c_Corrective Action Request (CAR) Form.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Att 7c_Site audits,Site audits (completed for each corrective action)	Agency IC Tracking Number:	0920-0109

Is this a Common Form? No		IC Status: Unchanged

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 84

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	0920-0109	NIOSH CORRECTIVE ACTION REQUEST (CAR) Form	Atch_7c_Corrective Action Request (CAR) Form.docx	NA	No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 70	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	140	140
Annual IC Time Burden (Hours)	2,240	2,240
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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