Information Collection

Operator Survey

IC 246439 under ICR 202201-0920-018 · OMB 0920-1343.

Documents and Forms

Document Name Document Type
Form 0920-21AN Operator Survey Form and Instruction
0920-21AN Operator Survey Attachment 3a.docx Form and Instruction
0920-21AN Operator Survey Attachment 3a.docx Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Operator Survey	Agency IC Tracking Number:

Is this a Common Form? Yes		IC Status: Unchanged

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	Operator Survey	Attachment 3a.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 153	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	153	153
Annual IC Time Burden (Hours)	64	64
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.