Information Collection

Safe + Sound Week (2019 Campaign)

IC 236188 under ICR 202102-1218-005 · OMB 1218-0269.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1218-0269 can be found here:

Documents and Forms

Document Name Document Type
Form 1 Safe + Sound Week (2019 Campaign) Form and Instruction
1 Safe and Sound Week Event Registration Form 2019 S+S Week Event Registration Form Questions_Final.docx Form and Instruction
1 Safe and Sound Week Event Registration Form 2019 S+S Week Event Registration Form Questions_Final.docx Form and Instruction
2 Safe and Sound Week Event Feedback Form 2019 S+S Week Event Feedback Form Questions_Final.docx Form and Instruction
2 Safe and Sound Week Event Feedback Form 2019 S+S Week Event Feedback Form Questions_Final.docx Form and Instruction
1218-0269 Gen IC for S+S Week Paperwork Package 5.24 Ver1.docx GEN IC Justification for Safe and Sound Week Forms IC Document
1218-0269 Gen IC for S+S Week Paperwork Package 5.24 Ver1.docx GEN IC Justification for Safe and Sound Week Forms IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Safe + Sound Week (2019 Campaign)	Agency IC Tracking Number:

IC Status: Removed

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	1	Safe and Sound Week Event Registration Form	2019 S+S Week Event Registration Form Questions_Final.docx		Yes	Yes	Fillable Printable
Form and Instruction	2	Safe and Sound Week Event Feedback Form	2019 S+S Week Event Feedback Form Questions_Final.docx		Yes	Yes	Fillable Printable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,500	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Program Change Due to New Statute	Previously Approved
Annual Number of Responses for this IC	-5,000	5,000
Annual IC Time Burden (Hours)	-459	459
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GEN IC Justification for Safe and Sound Week Forms	1218-0269 Gen IC for S+S Week Paperwork Package 5.24 Ver1.docx	05/29/2019

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