Safety and Health Measures and Mishap Reporting (NFS1852.223-70)

ICR 201510-2700-001

OMB: 2700-0160

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2015-11-17
IC Document Collections
IC ID
Document
Title
Status
217300
Modified
ICR Details
2700-0160 201510-2700-001
Historical Active 201506-2700-002
NASA
Safety and Health Measures and Mishap Reporting (NFS1852.223-70)
Existing collection in use without an OMB Control Number   No
Regular
Approved with change 12/11/2015
Retrieve Notice of Action (NOA) 11/10/2015
This collection is approved based on the revised materials provided by the Agency. NASA must report this collection as a violation in this year's Information Collection Budget.
  Inventory as of this Action Requested Previously Approved
12/31/2018 36 Months From Approved
924 0 0
4,315 0 0
0 0 0

NASA is requesting approval to collect information from NASA contractors pertaining to contractor mishaps that occur on a NASA site. The work NASA does is inherently risky. NASA's constant attention to safety is the cornerstone upon which we build mission success. NASA is committed to protecting the safety and health of the public, team members, and those assets that the Nation entrusts to NASA. It is NASA policy to report and track to resolution all corrective actions resulting from investigations of mishaps, incidents, nonconformances, anomalies, and safety and mission assurance audits and to distribute and use lessons learned to improve activities and operations. This is a vital component of NASA's safety program. Accordingly, NASA requests authorization to collect information under the NASA Federal Acquisition Regulation Supplement (NFS) clause, 1852.223-70, Safety and Health Measures and Mishap Reporting, formerly entitled "Safety and Health." While the clause is proposed to be revised to eliminate some information collect requirements, two distinct information collection requirements will remain: 1) notification of a Type A, B, C, or D Mishap, or close call as defined in NASA Procedural Requirements (NPR) 8621.1, Mishap and Close Call Reporting, Investigating, and Record keeping, and 2) quarterly reports specifying lost-time frequency rate, number of lost-time injuries, exposure, and accident/incident dollar losses.

US Code: 29 USC 1960.28 Name of Law: Occupational Safety and Health Act
  
None

2700-AE16 Final or interim final rulemaking 80 FR 155 08/12/2015

  80 FR 155 08/12/2015
No

1
IC Title Form No. Form Name
NSF Clause 1852.223.70

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 924 0 0 924 0 0
Annual Time Burden (Hours) 4,315 0 0 4,315 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Changing Regulations
No
This information collection is necessary to implement NASA policy NPR 8621.1, Mishaps and Close Call Reporting Investigating and Record Keeping to protect the Agency workforce and assets from harm. Mishap reporting enables NASA to conduct thorough investigations to determine causes, mitigate hazards, develop lessons learned, evaluate Agency trends, improve safety and reduce risk.

$237,822
No
No
No
No
No
Uncollected
Frances Teel 240 460-5269 frances.c.teel@nasa.gov

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
11/10/2015


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