Worker Notification Feedback Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIOSH 2)

OMB: 0920-0953

IC ID: 220544

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

Worker Notification Feedback Survey 16UL
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-WORD survey 3 3 16.docx No   Fillable Fileable

Health Consumer Health and Safety

 

3,000 0
   
Individuals or Households
 
   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 3,000 0 3,000 0 0 0
Annual IC Time Burden (Hours) 500 0 500 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Request for Approval OMB generic clearance form - IWSB Survey 3 3 16.docx 03/09/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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