View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

[NIOSH] : Satisfaction Survey for three-part virtual workshop series on Impact Wellbeing™ Guide 0920-0963-24DZ
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 0920-0953 Getting Started to Impact Wellbeing Virtual Workshop Feedback Form - Survey 1 2. Impact Wellbeing Workshop 1 Survey_3.14.24.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0953 Fostering a Safe, Supportive Work Environment Virtual Workshop Feedback Form - Survey 2 3. Impact Wellbeing Workshop Survey 2_3.14.24.docx Yes Yes Fillable Fileable
Form and Instruction 0920-0953 Building a System Where Healthcare Workers Thrive Virtual Workshop Feedback Form 4. Impact Wellbeing Workshop 3 Survey_3.14.24.docx Yes Yes Fillable Fileable

Workforce Management Worker Safety

 

150 0
   
Individuals or Households
 
   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 150 0 150 0 0 0
Annual IC Time Burden (Hours) 39 0 39 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval under the “Generic Clearance for Collection of Routine Customer Feedback” (OMB Control Number: 0920-0953) Impact Wellbeing Virtual Workshop Series Gen IC_3.20.24.docx 03/26/2024
Invitations and Reminder Emails 5_Impact Wellbeing Workshop Series_Survey Emails_3.14.24.docx 03/26/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.