Information Collection

Discussion Guide

IC 213745 under ICR 201411-0920-003 · OMB 0920-1060.

Documents and Forms

Document Name Document Type
Discussion Guide Form and Instruction
Discussion Guide Attachment I_Discussion Guide.docx Form and Instruction
Attachment G_Interview Confirmation Email_EH.docx G - Confirmation Email IC Document
Attachment H_Interview Opening Statement.docx H - Interview Opening Statement IC Document
Attachment J_Interview Thank You Email.docx J - Thank you Email IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Discussion Guide	Agency IC Tracking Number:

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 and Instruction	none	Discussion Guide	Attachment I_Discussion Guide.docx		No		Paper Only

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 28	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	28	28
Annual IC Time Burden (Hours)	14	14
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
G - Confirmation Email	Attachment G_Interview Confirmation Email_EH.docx	11/05/2014
H - Interview Opening Statement	Attachment H_Interview Opening Statement.docx	11/05/2014
J - Thank you Email	Attachment J_Interview Thank You Email.docx	11/05/2014

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