Safety Communication Campaign (DOHS/OD)

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

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0925-0648 can be found here:

Documents and Forms

Document Name Document Type
01292020-CLagoe-Burden-Safety Communication Campaign Survey-Interviews.pdf Instruction
01292020-CLagoe-Request-Safety Communication Campaign.docx Fast Track Request for Safety Communication Campaign IC Document
01292020-CLagoe-Recruitment Email?Sent from OSHC Members.docx Recuritment email Sent from OSHC members IC Document
01292020-CLagoe-Recruitment Email?To Be Sent From Safety Specialists.docx Recruitment Email to be sent from Safety Specialist IC Document

Information Collection (IC) Details

IC Title:	Safety Communication Campaign (DOHS/OD)	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
Instruction			01292020-CLagoe-Burden-Safety Communication Campaign Survey-Interviews.pdf		No		Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 100	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	100	100
Annual IC Time Burden (Hours)	50	50
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Fast Track Request for Safety Communication Campaign	01292020-CLagoe-Request-Safety Communication Campaign.docx	01/29/2020
Recuritment email Sent from OSHC members	01292020-CLagoe-Recruitment Email?Sent from OSHC Members.docx	01/29/2020
Recruitment Email to be sent from Safety Specialist	01292020-CLagoe-Recruitment Email?To Be Sent From Safety Specialists.docx	01/29/2020

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