Information Collection

AFRC Safety Day 2023 Feedback Survey

IC 259333 under ICR 202505-2700-003 · OMB 2700-0153.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
SD_Survey_2023_Text.docx forms.office.com/g/JmWqkMRpH7	Other-Survey text
SD_Survey_2023_Text.docx forms.office.com/g/JmWqkMRpH7	Other-Survey text
SD_Survey_2023_Screenshot.docx forms.office.com/g/JmWqkMRpH7	Other-Survey screenshots
SD_Survey_2023_Screenshot.docx forms.office.com/g/JmWqkMRpH7	Other-Survey screenshots
Safety Day 2023 Feedback Survey_fast-track-PRA-submission-short-form_061819_orig.docx AFRC Safety Day 2023 Feedback Survey fast track form	IC Document
Safety Day 2023 Feedback Survey_fast-track-PRA-submission-short-form_061819_orig.docx AFRC Safety Day 2023 Feedback Survey fast track form	IC Document

IC Title:

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
Other-Survey text				https://forms.office.com/g/JmWqkMRpH7	Yes	Yes	Fillable Fileable
Other-Survey screenshots				https://forms.office.com/g/JmWqkMRpH7	Yes	Yes	Fillable Fileable

Line of Business: General Science and Innovation

Subfunction: Scientific and Technological Research and Innovation

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,373

Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	1,373	1,373
Annual IC Time Burden (Hours)	114	114
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
AFRC Safety Day 2023 Feedback Survey fast track form		03/27/2023

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

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