Information Collection

Practicing Ergonomist Survey of Tools and Methods

IC 223616 under ICR 201609-0920-013 · OMB 0920-1177.

Documents and Forms

Document Name Document Type
Practicing Ergonomist Survey of Tools and Methods Form
Egonomist Survey of Tools and Methods Att. D - Questionnaire.docx Form

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Practicing Ergonomist Survey of Tools and Methods	Agency IC Tracking Number:	16AMV

Is this a Common Form? No		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	none	Egonomist Survey of Tools and Methods	Att. D - Questionnaire.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 938	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	938	938
Annual IC Time Burden (Hours)	469	469
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.