OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Leading Indicators that Improve Workplace Health and Safety

IC 260537 under ICR 202502-1290-004 · OMB 1290-0043.

Documents and Forms
Document Name
Document Type
Other-Survey Example
Other-Survey Example
Other-Master List Survey Questions
Other-Master List Survey Questions
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Leading Indicators that Improve Workplace Health and Safety
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Survey Example Appendix B Survey Small Med Example.docx Yes Yes Fillable Fileable
Other-Master List Survey Questions Appendix A Master List Survey Questions.docx Yes Yes Fillable Fileable

Health Consumer Health and Safety

 

516 0
   
Private Sector Businesses or other for-profits
 
   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 516 0 0 0 0 516
Annual IC Time Burden (Hours) 253 0 0 0 0 253
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement A for Generic Clearance SSA Template for Formative Generic_Base.docx 06/05/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.