OMB
.report
Search
National Worker Survey
Formative Data Collections for DOL Research
OMB: 1290-0043
IC ID: 262010
OMB.report
DOL/OS
OMB 1290-0043
ICR 202502-1290-004
IC 262010
( )
Documents and Forms
Document Name
Document Type
Appendix A WesInfo Advertisement.docx
Instruction
Appendix B General Advertisement.docx
Instruction
Appendix C E-mail to Workers’ Rights Organizations for Recruitment for Formative Research.docx
Instruction
Appendix D Confirmation Email for In-person Participants.docx
Instruction
Appendix E Respondent Screener_8_16_23.docx
Other-Respondent Screener
Appendix F Formative Research Interview Guide_8_16_23.docx
Other-Interview Guide
Appendix G Survey Invitation Letter.docx
Other-Invitation Letter
1290- 0043 SSA Formative Generic_WkrSurvey_9_07_23.docx
Supporting Statement Part A
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
National Worker Survey
Agency IC Tracking Number:
IC Status:
Removed
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
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
Federal Enterprise Architecture Business Reference Module
Line of Business:
Workforce Management
Subfunction:
Worker Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
10
Number of Respondents for Small Entity:
0
Affected Public:
Individuals or Households
Percentage of Respondents Reporting Electronically:
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
Documents for IC
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.