View Information Collection (IC)

View Information Collection (IC)

IC Title:	Susan Harwood Training Grant Program Workplace Safety and Health Training on Infectious Diseases, Including COVID-19	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	SHTG-FY-22-05	Susan Harwood Training Grant Program Workplace Safety and Health Training on Infectious Diseases, Including COVID-19	2022 SH ARPA COVID-19 FOA_SHTG-FY22-05.docx	www.grants.gov	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: 72	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	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	72	0	72	0	0	0
Annual IC Time Burden (Hours)	4,032	0	4,032	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
1225-0086 2022 Susan Harwood FOA Supplementary Supporting Statement	1225-0086 2022 Susan Harwood FOA Supplementary Supporting Statement.docx	02/03/2022
2022 Susan Harwood FOA - Signed Decision Memo	2022 SH ARPA COVID-19 FOA SEC Decision Memo 01.10.22_Signed.pdf	02/03/2022

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