OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

National Worker Survey

IC 262010 under ICR 202502-1290-004 · OMB 1290-0043.

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Instruction
Other-Respondent Screener
Other-Respondent Screener
Other-Interview Guide
Other-Interview Guide
Other-Invitation Letter
Other-Invitation Letter
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

National Worker Survey
 
Removed
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Appendix A WesInfo Advertisement.docx Yes Yes Fillable Fileable
Instruction Appendix B General Advertisement.docx Yes Yes Fillable Fileable
Instruction Appendix C E-mail to Workers’ Rights Organizations for Recruitment for Formative Research.docx Yes Yes Fillable Fileable
Instruction Appendix D Confirmation Email for In-person Participants.docx Yes Yes Fillable Fileable
Other-Respondent Screener Appendix E Respondent Screener_8_16_23.docx Yes Yes Fillable Fileable
Other-Interview Guide Appendix F Formative Research Interview Guide_8_16_23.docx Yes Yes Fillable Fileable
Other-Invitation Letter Appendix G Survey Invitation Letter.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

10 0
   
Individuals or Households
 
   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 0 0 -10 0 0 10
Annual IC Time Burden (Hours) 0 0 -11 0 0 11
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement Part A 1290- 0043 SSA Formative Generic_WkrSurvey_9_07_23.docx 09/08/2023
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.