View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	Feedback survey for Oct 2021 webinar (CDC/NIOSH/OD/ORI)	Agency IC Tracking Number:	0920-22AF

IC Status: New

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
Form and Instruction	0920-22AF	NIOSH Foresight Friday Webinar	Survey_NIOSH_ForesightFriday_Webinar_Oct2021_10.13.2021.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: 400	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	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	400	0	400	0	0	0
Annual IC Time Burden (Hours)	34	0	34	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
Request for Approval	Customer_Service_GenIC_Clearance_NIOSH_ForesightFriday_Webinar_Oct2021_10.13.2021.docx	10/25/2021
Survey Email	Survey_Email_NIOSH_ForesightFriday_Webinar_Oct2021_10.13.2021.docx	10/25/2021

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