Information Collection

Initial Meeting (Fit Actigraph)

IC 236665 under ICR 202012-0920-008 · OMB 0920-1278.

Documents and Forms

Document Name Document Type
Initial Meeting (Fit Actigraph) Form and Instruction
C1 - Initial meeting Appendix C- surveys and diaries (1).docx Form and Instruction
C1 - Initial meeting Appendix C- surveys and diaries (1).docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Initial Meeting (Fit Actigraph)	Agency IC Tracking Number:	0920-1278

Is this a Common Form? No		IC Status: Modified

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	na	C1 - Initial meeting	Appendix C- surveys and diaries (1).docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 60	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	60	60
Annual IC Time Burden (Hours)	15	15
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.