View Information Collection (IC)

View Information Collection (IC)

View Information Collection (IC)

IC Title:	AFRC Safety Day 2023 Feedback Survey	Agency IC Tracking Number:

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
Other-Survey text			SD_Survey_2023_Text.docx	https://forms.office.com/g/JmWqkMRpH7	Yes	Yes	Fillable Fileable
Other-Survey screenshots			SD_Survey_2023_Screenshot.docx	https://forms.office.com/g/JmWqkMRpH7	Yes	Yes	Fillable Fileable

Federal Enterprise Architecture Business Reference Module

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 %

	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	1,373	0	1,373	0	0	0
Annual IC Time Burden (Hours)	114	0	114	0	0	0
Annual IC Cost Burden (Dollars)	0	0	0	0	0	0

Documents for IC

Title	Document	Date Uploaded
AFRC Safety Day 2023 Feedback Survey fast track form	Safety Day 2023 Feedback Survey_fast-track-PRA-submission-short-form_061819_orig.docx	03/27/2023

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