Information Collection

OSHA Screening Survey for SGE Focus Group for VPP Modernization

IC 262079 under ICR 202504-1225-002 · OMB 1225-0093.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1225-0093 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
OSHA Screening Survey for SGE Focus Group for VPP Modernization	Form and Instruction
OSHA Screener Survey OSHA Screening Survey for SGE Focus Group for VPP Modernization	Form and Instruction
OSHA Screener Survey 1225-0093 Screener Survey OSHA 9.7.2023 ver2.docx www.surveymonkey.com/r/K9TM2CH	Form and Instruction
OSHA Screener Survey 1225-0093 Screener Survey OSHA 9.7.2023 ver2.docx www.surveymonkey.com/r/K9TM2CH	Form and Instruction
1225-0093 A11 Section 280 Clearance Cover Page for DOL SGE Screener Survey OSHA 9.7.2023 (002).docx 1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA	IC Document
1225-0093 A11 Section 280 Clearance Cover Page for DOL SGE Screener Survey OSHA 9.7.2023 (002).docx 1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA	IC Document

IC Title:

OSHA Screening Survey for SGE Focus Group for VPP Modernization

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
Form and Instruction	NA			https://www.surveymonkey.com/r/K9TM2CH	Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,100

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,100	1,100
Annual IC Time Burden (Hours)	275	275
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
1225-0093 A11 Section 280 DOL SGE Screener Survey OSHA		09/07/2023

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

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