CSA_Survey

Examining Safety and Health among Aviation Industry Workers in Alaska: A Survey

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1343 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-21AN CSA_Survey Form and Instruction
0920-21AN CSA_Survey Attachment 3e.docx Form and Instruction
0920-21AN CSA_Survey Attachment 3e.docx Form and Instruction

Information Collection (IC) Details

IC Title:	CSA_Survey	Agency IC Tracking Number:

Is this a Common Form? Yes		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
Form and Instruction	0920-21AN	CSA_Survey	Attachment 3e.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 800	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	800	800
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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